1981, 03-20 Permit: 81A-2611 Wood Stove PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
3/ /8/ 1 — z4vf
SPOKANE COUNTY — BUILDING CODES DEPARTMENT /7
1 l NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
-0..)
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
, ADDRESS 0 2 * * 1 0 0 0
1. S, / ,�, C, %/j/am�/�� �,.{{ (% �<< LEGAL DESCRIPTION — SEE ATTACHED * 1 Q 0 0 w
LOT BLOCK SUBDIVIS'tON PARCEL NUMBER/S 2 6 Qf
2.
OWNER y PHONE 0 3-2 0-8 1
3. 4 .--f y! fie,71-7,-(-xi; N 0 P,FleN, _
ADDRESS ZIP Actual Set Backs in Feet -2 6 4 7 9,
( /- i/ g.1 ,z/ .1' North SouthEast West
CONTRACTOR7. PHONE Size of Parcel Zone Classification
4. iiia-k i, i tam -.64-6, �,_
A DRESS ZIP Type Const. Occupancy Sprinklered
�` 3
/a �(,� /1-../1</-01(7,./-14/- //ate t I� '- ,� j Oyes ❑No 0 Req'd.
DESIGNER PHONE Vayration,.
Jo Building Area in Sq. Ft. Q 4 * * 1 7. 0 0
77
5. ADDRESS
* 1 7,00 �
ZIP Main Floor Upper Floors Garage Area Storage _
2 6 1.0.-
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
03-20-81
TYPENo.Baths No. Stories No. Rooms No. of Dwellings 7 9,
❑ D NEWALT. 0 AD'N. 0 RPL. ❑ MVE.
7, OF 0 OTHER
WORK ❑ BLD. ElPLMB. 21 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE�}^'O K Enum.Dist. I Location (Area) T FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC' WATER SEWER
J )J OF Ownership USE CODE
9. UTILITIES Public ❑Private lk
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 guildin ' '/iJ. L
type of work will be complied with whether specified herein or not. The granting of a permit does not presume g
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 APPLICAN Mech. j 7
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA ,'"
Planning cD
r,
Mobile Home
Fire Marshall
J
Il
Co. Engineer Other (Specify)
Utilities 76'
TOTAL e;-
-
�
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist , THIS BECOMES A PERMIT.
Bui .ing Techtnicia PERMIT IS NONTRANSFERABLE ' 1 f '— '
7 �' 0 3 2 a' �1 2 6 hl z *27 00
, i PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL