1982, 10-11 Permit: 82A-9338 Wood Stove PLAN NUMBER PERMIT NUMBER
APPLICATION/PERMIT
,-A ,22
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
... NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
j� APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS1. 0 (� * 2 0 0
I • 100 7-- V�� � a r LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISI N PARCEL NUMBER/S * 2 C, 0 0
2. A. * C 0 0
OWNER / PHONE
3. 11/ vJb\u C . VNIP<1VI 2 gile ��?-2_-- ef{}64-- 4 3 3 7
ADD ESS /� \/ ] L' Actual Set Backs in Feet
- I OO V vl i( �l North (South East (West 1 0— 1 1 —8 2
CONT ACTOR P ONE Size of Parcel Zone Classification 6 4 7 9
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
Eyes ❑No 0 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.
TYPE
2,------ No.Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7, OF 0 OTHER
WORK 0 BLD. ❑ PLMB. 5rMECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK /,.�'0 Enum. Dist. I Location (Area) T
8. 4701 . -. , I
FEES COLLECTED
�
� Y
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0
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
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION Plumbing
DATE OF APPLICATION / 0 — 1 1 — l , SIGNATURE OF APPLICANT /�lc� (46/ Mech. 0 °"
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
o_
Planning 0C./
..'
Fire Marshall Mobile Home '-J
LJ-
Co. Engineer Other(Specify)
Utilities TOTAL $ 2c
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B�$i1• � PERMIT IS NONTRANSFERABLE 10-1�1�—8 2 9 3 3,B z * 2 O.0 0 a g —
' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL