1980, 04-10 Permit: 80-3317 Wood Stove PLAN NUMBER -1APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT — \'9
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
04 * *7,00
JOB ADDRESS r LEGAL DESCRIPTION — SEE ATTACHED * 7,0 0
1. T• /7015 PALLEY WAY * 7.O O x
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE E * 0.0 0 c.
3. RAY D?Ac Xee 9z6-icy 1113443 3 1.6
ADDRESS ZIP Actual Set Backs in Feet
6". /70/5 VALteYWAV 9903? North (SouthEast (West 0 4_ 1 0_8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
4. Serle @ 6479.
ADDRESS ZIP Type Const. Occupancy Sprinklered
S){Mt Eyes ❑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 No. Stories No. Rooms No. of Dwellings _
TYPE 26 NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK ❑ BLD. 0 PLMB. ® MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. !Location (Area) T FEES COLLECTED
8. WOW)sr.° E I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑PrivateX
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 #7 ..,
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
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA ^-
Planning r
u
— LU
Mobile Home
Fire Marshall a:
Co. Engineer Other(Specify)
Utilities
TOTAL $ 7.00
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Build' g Technician PERMIT IS NONTRANSFERABLE 0 4 `l-G -8 U
R 1.7 " *7. 0 0 a H —
ig c, 7`� Who/ea PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL