1981, 03-25 Permit: 81A-2764 Wood Stove PLAN NUMBER APPLICATION/PERMITM PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT �' / � zit
o.
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Allonominimilli
JOB ADDRESS
1. Z1a —r1Vv e.—zc.. 'o LEGAL DESCRIPTION — SEE ATTACHED 0 4 * * 1 7,0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
* 1700
2.
OWNER PHONE 2 7 b Z
3. i . 1 trf E5 ct Zic"foo-7l0
ADDRESS ZIP Actual Set Backs in Feet U 3-2 5-8
. 2.5I4 Ttelneerz Li 'u aa. act037 North 'South East (west Q
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ADDRESS�p / ZIP Type Const. Occupancy Sprinklered
SyrnG ❑Yes ❑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
LrJ NEW ❑ ALT. El AD'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER
WORK ❑ BLD. 0 PLMB. ti MECH. 0 M.H. CIPOOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) '
FEES COLLECTED
8. WOLJBi KAiitvC. G7vUEI
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 REVERSEJSIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 3/s.?174F", SIGNATURE OF APPLICANT • Mech. 'r7 00
SPECIAL APPROVALS SPECIAL CONDITIONS: J
NAME DATE Plan Check
Env. Health
SEPA >--
o_
Planning i j
Mobile Home
J
Fire Marshall
i
Co. Engineer Other(Specify)
Utilities
TOTAL $ 17.CC-
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
BuilTechni n PERMIT IS NONTRANSFERABLE 01311-'2 FJ''F••''$111, 2 7 64:1 *117 0,0 a H
W �' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL