1982, 02-22 Permit: 82A-1185 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
Z. b - 11b7
f�.,�
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
v APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 14 G 4 * * 2 O. 0 O
1X70 K g1rfAiLEGAL DESCRIPTION — SEE ATTACHED r,
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 1 1 c: u
OWNER HO E
3. L Kr We RLL -` 17� o2 22-82
AD ESS12-70 —FS- O "-5 --)-1
‹i North Actual Set Back'Sout eet Eastt 'West
COwrO PHONE Size of Parcel Zone Classification
4. .
ADDRESS ZIP Type Const. Occupancy Sprinklered
Oyes ❑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.
TYPE ,,_,// No.Baths No. Stories No. Rooms No. of Dwellings
'L� NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF _/ ❑ OTHER
WORK
0 BLD. 0 PLMB. Et/MECH.MECH. ❑ M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. Location (Area)
8. it I �+rC I FEES COLLECTED
VALUATION CE GAS ELECTRIC WATER SEWER
_ OF Ownership USE CODE
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
q lG (, �
DATE OF APPLICATION �1i2-�1 sI SIGNATURE OF APPLICANT `�d I w'; / Mech. L�
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n_
c,,3
Planning r)
- i,1
Fire Marshall Mobile Home J
Co. Engineer Other(Specify)
Utilities 0
TOTAL _
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
r +
Building eh. PERMIT IS NONTRANSFERABLE 0 211=;2 2'7'8 2, 1 18.5 z *2 O.0 0'd.H
-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL