1981, 12-02 Permit: M8113-2344 Wood stovePLAN NUMBER APPLICATION/ PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES -- PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
�zC7EYUT LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK SUBDIVISION PArCEL. N—UM BER/S
2.
OWNER PHONE
3.
ADDRESS ZIP , y Actual Set Backs in Feet
0 � ? SaQ—C. civ i �eAa- North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
S la w-,
Type Const. Occupancy Sprinklered
yy�rj ❑Yes ❑No 1:1 Req'd.
4. ADDRESS ZIP
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.
TYPE ,_,J No. Baths No. Stories No. Rooms No. of Dwellings
LrJ NEW El ALT. 1:1 AD'N. ❑ RPL. El MVE.
7, OFJ ElOTHER
WORK 1:1IlQ BLD. ❑ PLMB. MECH. ❑ M. H. ElPOOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8. k)Sc vE
VALUATION SOURCE I GAS ELECTRIC I WATER I SEWER
OF Ownership USE CODE
9. UTILITIES Public ❑Private ❑ Single $
1 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
type of work will be complied with whether specified herein or not. The granting of a permit d s not presume Building
to give authority to violate or cancel the provisions of any other state or local law re lating constru tion or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /L Plumbing
DATE OF APPLICATIONx bt Q Klh 1 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
Planning
Fire Marshall
Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
Building Technician. PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ V-2 00
04* *17,00
* 1 7.00
* 1 7.001
A *0.00
23G 3�
12-02-81
2 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
l 2, -y 0 Z 8 l 2 3 4 4 25
DATE ISSUED PERMIT NO.
*17,OO(OL �-J- -
TOTAL