1982, 02-16 Permit: 82A-1029 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 'S ^ t -29
ei
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. North 4417rcler LEGAL 'ESC(- IPTION — SEE ATTACHED
LOT BLOCK SUBDIV SION ` ` i i1 PARCEL NUMBER/S 0 4 * 2 O. O O
2. 2.... 1 EVA A Adij-it V �%4"vAk-e. a- v� i\�ct'Act''�' * 2 C t 0 c%
NE ,, yC., L�'„ v}' P ONE r. -- Y
fan ` ianenb urg � —� '71 Z c 3 c 9 "� -r O `�0 Z * 2 0,0 0
3.
ADDRESS ZIP Actual Set Backs in Feet A * 0 C 0 E
same 99216 North (South East
CONTRACTOR PHONE Size of Parcel Zone Classification(West 1 0 2. 8 z
4' ADDRESS�[` � . -itxpi1344 a�� \ly�� ZIP S Type Const. Occupancy Sprinklered
0 2— 1 6—8 2
`i, T 2Nett LY: ' qui
1--a ,v-y„ c.,„t„. .S Dyes 0 N ❑ Req'd. z 6479,
DESIGNER PHONE Valuation Building Area in Sq. Ft.
7
c
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
A
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. X
No.Baths No Stories No. Rpoms No. of Dwellings
TYPE ❑ NEW ❑ ALT. 0 AD'N. ❑ RPL. 0 MVE. .L. I (/Z ''
7. OF ❑ OTHER CERTIFICATE eq d. Recd. Not Req'd.
WORK C1 BLD. 0 PLMB. 0 MECH. 0 M.H. CI POOL
of EXEMPTION
DESCRIBEEnum, Dist, I Location (Area)
8. WOOD STOVE FEES COLLECTED
1
VALUATION
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private A 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 INSPECTIONS \
DATE OF APPLICATION e)-- CI - F-eSIGNATURE OF APPLICANT A -.& •a '.i11 ♦ ........2>' Mech. 2n nn
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health WOOD STOVE $20.00 1/26/82
›--
SEPA
SEPA =,_
Planning ,j
— ,,1
Mnbil 1-Inma
Fire Marshall
�i
Co. Engineer Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE 0'2;,-: 6-8i
2' 1''0 Z9 z * 20,00R PI
2L.1dr // PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL