1980, 10-23 Permit: 80B-2592 Wood Stove PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT /1 8 .3---.2-' ,
ei
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TQ MAKE 3 COPIES
J,B ADDRESS 0 1-1 * * 7 0 0
1. X40, ici-j 5 LEGAL DESCRIPTION — SEE ATTACHED
LOT BL CK UBDIVISION PARCEL NUMBER/5 ii c
2.
OWNER 'r O lJ �
PHONE
3. � ��_ � ° ��� �. z�-tv � ;; , ;,
: �. . 0
ADDRESS ZIP Actual Set Backs in Feet G, 5 9 1 („
10—d_. V/ L,ts 4 - ,f9,.;2,1 :-) North [South East 'West
C NTRA O (� PHONE Size of Parcel Zone Classification '-
4.
614 tDDRESS Zip Type Const. Occupancy Sprinklered
c 6..2.4) /2.2-( z-i✓ nit-• 7),iiL e (•?-9J,771 7 Oyes ❑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.
No.Baths I No. Stories No. Rooms INo. of Dwellings
TYPE ❑ NEW ❑ ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. 1,4 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. I Rec'd. Not Req'd.
of EXEMPTION
ESCR.�IB- E VX RK Enum.Dist. Location (Area)
8 � A FEES COLLECTED
_'v�.{� � �ti� �fi� � �'vL�'�� Gam.
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public 0 Private 0
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included Single $
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, l' ifil,
Plumbing
/J i�tZi F7da-
--
DATE OF APPLICATION/0 ".23—gU SIGNATURE OF APPLICANT 1Jlf.rii.s Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
Planning SEPA >
ca
O
U
Fire Marshall Mobile Home w
J
ti..
Co. Engineer
Other(Specify)
Utilities
7-7
LjU
Plans Examiner
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bu�din eclyr�icianiY PERMIT IS NONTRANSFERABLE
.� v ��r� 1;0 2.5 9.2 1 * 7.0.0 ° -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL