1982, 09-08 Permit: 82A-7925 Wood Stove PLAN NUMBER APPLICATION/PERMIT
� d PERMIT NUMBER
SPOKANE COUNTY - BUILD6 " CDDES DEPARTMENT ','" `J 7✓c�
"2 F2
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIESMI G 4 * * 2 0 Q Q
JOB ADDRESS J
1. Ii . 1 -7 \115--iN Ra LEGAL DESCRIPTION - SEE ATTACHED 7 9 2. 41
LOT BLOCK SU DIVISI PARCEL NUMBER/S 0 9-.0 8-8 2
2.
OW NEp.R. HONE 64 7 9,
T
3. + -1.4 [1-690- - 604-
ki
AD RESS Actual Set Backs in Feet
�T V 1`'�` ,0 `�' North (South East (West
CONTRQICZOR PHONE Size of Parcel Zone Classification
4' ADDRESS=/SZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ 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 No. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF % ❑ OTHER
WORK ❑ BLD. ❑ PLMB. IQ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8. kiro'� �o ] I FEES COLLECTED
I
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regu ti construction or e
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT ir
Mech.
SPECIAL APPROVALS PECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning O
U
—
Fire Marshall Mobile Home -I
LL..
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
IA :'ng Te,'''n-I PERMIT IS NONTRANSFERABLE ` o o J -
_ 0 -08 8i2 79255 *20.0020.
)t 5 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL