1985, 08-26 Permit: No # Wood Stoves PLAN NUMBER APPLICATION/' a-IIC. r
SPOKANE COUNTY - BUILDING CODES DEPARTMENT I ` 4- �... t
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
LOT LOT BLO K ISI N t�l PARCEL NUMBER/S
2. Cp ' "rG�i th Cr -T Xa a� _ cj (�}^j
OWNER `` ` �(,�1i6i.1 PHONE22...05-7a.... 5 ( ~ `-` 4."� O
q
3
ADDRESS �• ^ Zlc.� z G NorthP al Set Backin iSout Feet East (West
CONT ACTOR r 1J PHONE Size of Parcel Zone Classification
4. T 1' Hikl (eco(l.-tlJ r 5;c-EWk
ADDRESSZIP 7p� Type Const. Occupancy Sprinklered
L` . 11 I,/ -moatgtzJZ ❑Yes 0 N ❑ Req'd.
DESIGNER 11 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 eiXALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. ,MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION _
DESCRIBE WORK •• _ - r Enum.Dist. Location (Area)
8. (NSThea—504 O ^j/�. )/ eg t�N16-''- �C I FEES COLLECTED
1" G�,C f"v C� _C-- I
VALUATION SOURCE GAS ELECTRIC WATER 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 INSPECT.,,e Plumbing
DATE OF APPLICATION i---024._e SIGNATURE OF APPLICANT ; 44-4-1 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE / t
TO Plan Check
Env. Health I) ii lac lg� Cl
1]` 1 ( SEPA i
Planning
Fire -- Mobile Home
Marshall
i
Co. Engineer Other(Specify)
Utilities .7.- ca
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
,,SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL