HomeMy WebLinkAbout1980, 02-06 Permit: 80-1865 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT yd - l5`6
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 3 - 4.,-?D
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES * * 7 0 C
JOB ADDRESS r,
! /� } LEGAL DESCRIPTION - SEE ATTACHED
LUT I BLOCK SUBDIV I PARCEL NUMBER/S 1 6 L
2. I
OWNER n PHONE 0 G-0 _6 0
3. 13-e -a- Ci.i i� 924-21g2 6.4 7 9.
DRESS �/� �w, �-� ZIP
G /� Required Set Backs in Feet
`
�JJ VAAL- "lir' .4'-' '' g9,20fo North (South East 'West
CTRACTOR 7 PHONE Size of Parcel Zone Classification
4. 41,44441—
ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
J. ADDRESS ZIP DWL Area 'Basement Area Garage Area I Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. JAI MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8 atittr /
- AS/ / ,/ : FEES COLLECTED
VALUATIO Source rGAS ELECTRIC WATER SEWER
-- of
9. Utilities 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
Plumbing
performance of construction.
e
DATE `^ l® — � SIGNATUREe.1141a
0�!��1�^�.�� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA P
Planning ..- w
0
Mobile Home c.,-'
Fire Marshall z
Co. Engineer Other (Specify)
Utilities /^7 Q
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist .3-6—gQ THIS BECOMES A PERMIT.
i"1t7fir{I=.2 mibev i ';, 7,,, :itr..il'i - DATE OFFICIAL W#L
'''''' APPROVED FOR ISSUANCE -