1979, 11-13 Permit: 79-7726 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT /1 7'/-" 7 7.
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE//—i.3 7
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JB ADDRESS
_ 04* *7,00
i LEGAL DESCRIPTION — SEE ATTACHED *7,0 0
1., • ,^1,.:'3 ?, VA,os,s- { a, L
LOT BLOCK SUBDIVISION PARCEL NUMBER/S *7,0 0 v
2.
Or E R PHONE B *G 0 0 U
3 r(i1DDRE S 'C '�j�,/1 J /}�- / ZIP
,/ Required Set Backs in Feet 7 7 2 5 g
.C,,�, 9,: :1/ 11)0-L.‘ !`i ..-;�iX.-f`' r/c/.u��Ca��, North 'SouthEast (West 1 .1 - 1 3-79
CONTRACTOR PHONE Size of Parcel Zone Classification
6.4 7 9,
A(p'DRESS ZIP Type Const. Occupancy Sprinklered
"XI .,0,2,1.4'. .. Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5, ADDRESS ZIP DWL Area Basement Area Garage Area Storage -
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPE No. Baths No. Floors No. Rooms Rec. Room
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE,
7, OF ❑ OTHER -
WORK ❑ BLD. ❑ PLMB. ,,MECH: ElM.H. Cl POOL POOL Req'd. Rec'd. Not Req'd.
of EXEMPTION
C;ESCRIBE WORK
�j —f-' FEES COLLECTED
VALUATION ource r GAS EL TRIC 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 "permit does not presume
to give authority to violate or cancel the provisions of any other state or I I law , ulating construction or the
performance of construction. , fPlumbing
DATE// " " '.�` --- , %-' SIGNATURE '/ � 7.1LY'r—°"t Mech. i7''�
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D_ REC'D. Plan Check
Env. Health cic
SEPA o
I-
Planning _ w
a_
Mobile Home r"
Fire Marshall -
Co. Engineer Other (Specify)
Utilities TOTAL $ 7c_'!-
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist _ d3—7 c THIS BECOMES A PERMIT.
DATE O FFICIAVr ���'/—/'- "1.�� 1 -1 3 --.1 9 7 7 26 Z 7, a''-
APPROVED FOR ISSUANCE