1982, 01-22 Permit: 82A-593 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT N MBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 5' - 5P
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
'�✓ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ` LEGAL DESCRIPTION — SEE ATTACHED [r * 2 C 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S '- lc `-� `00 0 o)
2. �J 1 ✓�f.f} � j /� * 2 C O 0��
OWNER
TiNio 1 I 1 Y �v_ ,H/ ' "�Lf� `; * 5' ',
3 ADDRESS- 7 'l 0 ' NorthAual Set Back'Sout in Feet East (West
CONTR��"�ACTOR �� Z7G�PHONE Size of Parcel Zone Classification 5 0 G - r' L
ADDRESS ZIP
4. 1 i Type Const. Occupancy Sprinklered a- 6.LI-7 9,
Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq.Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
IEW ❑ ALT. 0 AD'N. ❑ RPL. ❑ MVE-
7• OF / 0 OTHER
WORK El BLD. 0 PLMB. [�MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
I
DESC1RIBE WORK � Enum. Dist. I Location (Area) FEES COLLECTED
8. tV C001'9y�c,V/ 1
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILITIES Public CI Private ❑
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included _
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating constructio- '.r the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /,,. Plumbing
DATE OF APPLICATIO �/ �� � SIGNATURE OF APPLICANT ������t✓- Mech.
SPECIAL APPR VALS SPECIAL CONDITIONS: c�
NAME DATE Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
t3lx"ding Tech ician PERMIT IS NONTRANSFERABLE 1�-`2�2 .'8 2 519.3 z *20.0 0 a H
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL