1980, 10-23 Permit: 80B-2590 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT M � —,.26-Ye)
1 / 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 * * 7 C 0
i. `. LIO mak" �a.i1
LOT LO K DIVISIO . .PARC..L NUMBER/S
2. 58. °;
OWNER PHONE
3. q) -ie f-- Vile-- 9 -- Z'/? 1 — —
AD RESS /J ZIIlP> / Actual Set Backs in Feet 6.(( 7 g.
l•
/v A /Gj N ,(,/jt„ J/te,U 1� • ` g.,2.d 6 North (South East (West
COIyTR CTOR 7` c/Rj PHONE Size of Parcel Zone Classification
4. ,/(�✓VPI __
ADDRESS ZIP Type Const. Occupancy Sprinklered
K1 4,71 ❑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 ❑ NEW 0 ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7. OF 0 OTHER
WORK ❑ BLD. CIPLMB. *MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
ESCRIBE WORK Enum.Dist. Location (Area)
I FEES COLLECTED
8. i.c'c -/4t... v,,s .,�. ,1rwl/,✓1 A± I
VALUATION SOURCE GAS ELECTRIC ATER 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
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS �' Plumbing
le// r / ��
DATE OF APPLICATION /!� —,2.3-'�r� SIGNATURE OF APPLICANT I�.� i. i ,i iris Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
n_
Planning U
Mobile Home W
Fire Marshall —J
L
Co. Engineer Other(Specify)
Utilities
TOTAL $ .� �---
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
•Bu. mg Techpician PERMIT IS NONTRANSFERABLE 1 0-r�Q �3'-8.0 2`5 9. 0 5' *7. 0 0 ° IJ-
�� 4.e., PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL