1980, 11-18 Permit: 80B-3887 Wood Stove PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT `��� l ''�c5
el NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRES 0 Q * * 7, 0 0
1. i- 5� — ✓Alt K�� LEGAL DESCRIPTION — SEE ATTACHED * 7 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. i * 7. 00
OWNER PHONE
x ' � 5' A * 0. 0 v e
3. J C
A DRESS �7 G� 1/�A` i �y��� �c.{9 ZIP Actual Set Backs in Feet 3 8 8.6 z
�' I 5524
7/� I 1! `vVV l V�/ I '903 / North 'SouthNTEast IWest 1 1 = 1 8—8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
4' ADDRESS CG�J' ac b 4 7 9,
ZIP Type Const. Occupancy Sprinklered
DYes ❑No 0 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
NEW 0 ALT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF �/ ❑ OTHER
WORK
0 BLD. 0 PLMB. NJ MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DE CRIBE WORK � � Enum.Dist. I Location (Area) FEES COLLECTED
8. 1 00 K) G,�. '[
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public 0 Private ❑ 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 loped-Taw re. latinl construction or the
performance of construction.SEE REVERSE' SIDE FOR REQUIRED INSP CTIONS Plumbing
DATE OF APPLICATION /ice 1 3 --.5i6 SIGNATURE OF APPLI •N i / Mech. 2 °v
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
„/7.
Env. Health
SEPA ›—
o...
Fire Marshall S)),1,4Z,V� lj�� �j Mobile Home
LL-
Co. Engineer
Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
(li
_ Building Te an � '' PERMIT IS NONTRANSFERABLE 1 11.t"3 };'`8 t 3 8 &7 z *7:0 0 a°
/- ... � PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
J