1983, 08-16 Permit: 83A-7858 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY ?,` A - --76
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARrEL NC,
1. N. - ,2..r; 1A--, k
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
3
OWNER + PHOPHONE
TILING
LINGOpE .�—SS.� / � IP Actual Set Backs in Feet to:
J -''7
North South [East 1 West
CON`? t/�C,TgR� LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential 0
4. ` tl``�/IIII Commercial❑ /.4 * * _.
ADDRESS ZIP Type Const. Occupancy Sprinklered I
❑Yea ❑No ❑Req'd.
DESIGNER PHONE New Conet.Valuation Remodeled Valuation Total Bldg.Floor Area i' -- j /- —
5. /,
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE 2W ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF WORK
0 BLD. 0 PLMB., MECH. 0 M.H. 0 POOL 0 OTHER Certifi.of Exempt. Required Yes No Number
or Variance Received Yes No❑
8. DE (, JORKt�A/c..) Zc„Is 1 1\1
Shorelines/Flood Hazard
Yes❑ Not Applic.0 Plans Required 0
Received 0
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9 OF
UTILITIES PUBLIC 0
PRIVATE❑ SEPTIC 0
SEWER 0 Public❑Private 0
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 Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority 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 Plumbing
SIGNATURE OF " APPLICATIO / _ �y
OWNER OR AGENT N 0 I-i,_r�'. DATE O
->OWNER Mech. ____
SPECIAL APPROVALS SPE AL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning Modular/
MFG.Home
Fire CL
Prevent. p
Other(Specify)
C.3
Engineer y,l
J
Utilities N.
: �'`�
TOTAL $
SEPA
MACHINE
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERM TTED IN THIS SPACE,
Exam. N Building PERMIT IS NULL AND VOID IF WORK IN 1 0 DAYS HAS NOT COMMENCED u 8 _16 _ g 5. $ z * 3 O. a J.
Tech. kl -j DATE ISSUED PERMIT NO. TOTAL