1980, 10-08 Permit: 80B-1618 Wood Stove (PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
l SPOKANE COUNTY — BUILDING CODES DEPARTMENT /1 80 g - 1 Col S
(D/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
' III 04 * *7.00
JOB,ADDRESS � �
1. 1/5 `�JJGC/v/e,e/a 2d rOdeZ LEGAL DESCRIPTION - SEE ATTACHED * 7 0 0 "in-
LOT
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 7.
O 0
2.
S.
3. �i /perch ( .e �i�', e,tos /7 70%76,64,57
%76,60 A * 0,0 0
AJ.RREE$S ,��/ /�/�/�� ZI9 % Actual Set Backs in Feet 1 6 1.7 f
k .c-7.7.615-of ?d& +��d /` 7&d / e7/4 North 'South East (West 1 0-0 8-8 0
CONTRACTOR r� PH9NE Size of Parcel Zone Classification
Gees ,� eerna.--(cL rS��rn - 5`6.3-•/r7" z 6 4 7 9.
4' ADDRESS (f
,y ZIP Type Const. Occupancy Sprinklered
'/.
k!..,? S �J/r/X.sio/7 97c;k7.6)7 Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USEFROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
0 NEW 0 ALT. �❑)9'N. 0 RPL. ❑ MVE. ❑ OTHER
7. OF ❑ BLD. 0 PLMB. LJ MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION _
DESCRIBE WORK Enum.Dist. Location (Area)
8. —7 2s1 2 : c i,e� Ls-lope *96‘,---- I I FEES COLLECTED
VALUATION /
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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
//C 7�
DATE OF APPLICATION SIGNATURE OF APPLICANT '�% �6 '/- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA d
Planning Q
— w
Mobile Home
Fire Marshall _I
Co. Engineer Other (Specify)
Utilities /
TOTAL $ `
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildrn• nician PERMIT IS NONTRANSFERABLE 1 0 ""''0 8:-8'0` 1 6 1. 8 z * 7.0 0 a -
'• ! PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL