HomeMy WebLinkAbout1982, 11-24 Permit: 82B-1370 Wood Stove PLAN NUMBER APPLICATION/PERMIT ' PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY IV b -E - 170
/j? NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
/�/° APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES ; 1 ,
STREET DDRESSPARCEL NO. ,
LOT BLOCK `SUBDIVISION LEGAL DESCRIPTION:
2.
3. OWNEA �ifL-INI [� E �" PHONE
MAILI AD RESS all_ // Actual Set Backs in Feet to:
4'2<-) lI N I\I X71 -r-1 G2 North [South East I West
CONTRACTOR, LICENSE EXPIRES PHONE Size of Parcel 1 Zone Classification Residential 10c / I Commercial El4. ADDRE S ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. -
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6.
No.Barns No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑YNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. VMECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes❑ No Number
or Variance Received Yes LI No❑
DESCRI E WORK �Y r.....; Shorelines/Flood Hazard Plans Required❑
8. � �� S�VYes❑ Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9PUBLIC El SEPTIC❑
UTILITIES PRIVATE❑ SEWER 0 Public 0 Private 0
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 Building
work will be cornslied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to vi• . e or cance he provisions of an other state or local law regulating construction or the performance
of construe ion.SEE REV 7 RSE SIDE .'a -.!T IRED INSPECTIONS Plumbing
SIGNATU- OF � •l , , APPLICATION // a_3 4 F Mach. -'7_ O-
OWNER OR • - N ' DATE
' SPECIALROVALS SP CIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning Modular/
MFG.Home
Fire a
Prevent. O
Engineer Other(Specify) W
9 J
LI
Utilities 24'?
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building �� IIN 180 DAYS —ED 2 4 — 8 2 ;03 7. 0 z * 2 0.0 0.i y i
Tech. 1,jJ
DATE PERMIT