1979, 09-04 Permit: 79-3383 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT -7)- 3°
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
04 * * 7.00
1 JosaDlE� i J�r�� � LEGAL DESCRIPTION - SEE ATTACHED
11 *7.00 u)
LOT BLOCK SUBDIVISION PARCEL NUMBER/S ,?... / "
2. �L `� P -20q33x:22
OVVER P ON/E// 09-04-79
3 RE1r De U" e s cf P?" 0„ 75' Required Set Backs in Feet 6 4 7 9.
, , p� G.)/,y/ 1.(' Li
North 'South East 'West
CON RACTOR PHONE Size of Parcel Zone Classification
'
4. `A^1-e
ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area 'Basement Area Garage Area I Storage —
CHANGE OF USE FROM TO Split EntrySplit Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW NI ALT. ❑ AD'N. ❑ RPL. ❑ MVE. i
7, OF ❑ OTHERReq'd. Recd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. ❑ MECH: El M.H. ❑ POOL CERTIFICATE
of EXEMPTION
SCRIBE WORK
.� FEES COLLECTED
8 fiQ X10116 1�0�d St ��
VALToION Source GAS ELECTRIC WATER SEWER
9. 0 _ 1
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 state or loc law regul ing construction or the
performance of construction. Cd
Plumbing 7DATE 9- X7f SIGNATURE Ilre ��23
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health WO DI
S/ovC— _A—#46 fa//(�t;0
SEPA I-
Planning (>,__,A�/n/f Pe" StUU�. - w
��
�
Mobile Home
Fire Marshall /y/ Z
Co. Engineer Other (Specify)
ko46157-au 4--
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ' a _ THIS BECOMES A PERMIT.
DATE ; 4- FOFFICIA, ---G`'"-----— 09 - 04 -79 558. 5 ° *7.-00 2 i-
,/ APPROVED-POR ISSUANCE _