1980, 09-11 Permit: 80B-17 Wood Stove APPLICATION/PERMIT PERMIT NUMBER
PLAN NUMBER gM UM
/ -//'0- SPOKANE COUNTY — BUILDING CODES DEPARTMENT
V NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACS — PRESS HARD TO MAKE 3 COPIES Q 4 * * 7.0 0
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
1. / ��//% 6 LEGAL
* 700
LOT BLOCK SUBDIVISION PARCEL NUMBER/S x
* 7, 000
OWNER
2. PHONE A * O. 0 0
J's. /..r , eA I` �,�.-s ya —3 29 J
3• ZIP Actual Set Backs in Feet 6 0
ADDRESS -
/ /W// Slu�" �� 4 z. Gr`C Q'GJ / North south East (west 0 9— 1 1 —8 0
PHONE Size of Parcel Zone Classification
CONTRACTOR 6479.
C- Gam,✓0 lam— r
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No 0 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. No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL of EXEMPTION
DESCRIBE WORK Enum.Dist. ILocation (Area) ' FEES COLLECTED
8. jX -74f /7 A/Z/C1� s r)0'e i-,-1--iii.'e T, 7 ite,A' t e I
J
VALUATION SOURCE GAS ELECTRIC WATER f SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0 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 construction or the Plumbing
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTI A S /
CAit"---
or IP Or
;�' Mech. i0 aDATE OF APPLICATION 4A.. / J SIGNATURE OF APPLICAN — s h. i./` tie'
SPECIAL APPROVALS SP CIAL CONDITIONS: . Plan Check
NAME DATE
Env. Health SEPA
U
Planning w
Mobile Home -1
L
Fire Marshall
Other(Specify)
Co. Engineer
Utilities TOTAL $ 2`"O i
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist
Building Technician
PERMIT IS NONTRANSFERABLE G 9 i-‘1'11--!80' 1,7 ? *'7. G O o -
91.0 F_ 9 9/7 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL