1981, 11-13 Permit: 81B-1794 Wood Stove (PLAN NU�/IBER APPLICATION/PERMIT �' o
PERMIT NUMBER I
ey
SPOKANE COUNTY BUILDING CODES DEPARTMENT
+ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRES ,+ l)G ` U * * 1 7. 0 0
1.
e/C �5. VcizA-lG s I U,YA. '03j LEGAL DESCRIPTION - SEE ATTACHED * 1 r' l) 0 s
LO BLOCK SUBDIVISION ! C PARCEL NUMBER/S * 1
2.
OWNERA * 0 0 0 -..73. 142, d-M12,6. `� k-nt-rol,� an--o-ic-
ADDRESS ZIP Required Set Backs in Feet - 1
IO0 5. cCE'r' cr103/ 8
North South East West 1 1 — 1 J- 1
Co N T Ft/SC c.r. 7523 Size of Parcel Zone Classification
4' 1A�,D��D�(rR�-fESSS1 '^1�V 1` LINE
f17q� Type Const. Occupancy Sprinklered
OW2-'1 N. ✓1Vk51OM I •, ❑Yes ❑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. ❑ D'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. I=1PLMB. MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK , , A ,,,� I FEES COLLECTED
8. RkbZ VJoz s�DO L - i �Jc L� UIQ
VALUATION Source GAS 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 stat- or local law regul. ing construction or the
performance of construction. Plumbing
/ „ � �;
DATE ! �� 3 SI .'���%4.4 i_,a11�J Mech. 1-7
SPECIAL APPROVALS SPECIAL CON'ITIONS: f
DEPT. REQ'D. REC'D. Plan Check
Env. Health
r:
SEPA
}--
Planning _ w
2.
Fire Marshall Mobile Home 'n
Co. Engineer Other (Specify)
Utilities 17
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS OO gA MIT.
DATE/if/�/��OFF CIAO � i+ 17.94 Z * 17.
APPRO OR ISSUANCE _ r'.