1980, 01-15 Permit: 80-281 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT P ,f,J,2 8/
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE -270
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 4 * * 7 0 0
Joito3
1 3Jo �
ADDRESS . a LE AL DESCRIPTION — SEE ATTACHED * 7. 0 0
LOT BLOCK � !� iSION PARCEL NUMBER/S 2 a Q'R
2.
` PHONE C 1 — 1 5— O
3. /� �f. i 646- titiC.e�e. Q.2-1.1-7.2.64i4 2 6.4 7 9,
DRESS ZIPRequired> Required Set Backs in Feet
,
.73 , �L JL� x
. Q 9% .2/ 6, North (SouthEast (West
CO TTRR�A�CJTTOO-R PHONE Size of Parcel Zone Classification
4' KESS ZIP Type Const. Occupancy Sprinklered
. .,(2..44.4...1--- Dyes ❑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.
No.Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER -
WORK ❑ BLD. ❑ PLMB. A MECH: IDIM.H. DJPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
D SCRIBE WORK
8. .e.t �/ ,0-71..) JL _ r FEES COLLECTED
VALUAT ON S urce GAS ELE TRIC 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 permi does not presume
to give authority to violate or cancel the provisions of any other state or local law regulatin'; .,struction or the
performance of construction. _ ' 4k D
DATE / `/& --- Pc) E
Plumbing
SIGNATUR
Mech. �_
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
7:
SEPA c_D
I--
Planning — u
ti
Mobile Home cn
Fire Marshall =
Co. Engineer Other (Specify)
Utilities 00
TOTAL $ I
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist `.r/6 ._FdL.�. jyn('/, THIS BECOMES A PERMIT.
//n7 n
DATE OFFICIAL/kJ/441 G�f (j1— I, 1, �' —L� Y., 1 *7, 0 1! (1
APPROVED FOR ISSUANCE —