1982, 09-27 Permit: 82A-8747 Wood Stove PLAN NUMBER APPLICATION/PERMIT / PERMIT NUMBER
2
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
e- NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES C G. * * 2 0 0 0
1
JOB AD1 gR�.E�`S`5- ki _� ....-,_49,\-,0 LEGAL DESCRIPTION - SEE ATTACHED * 2 0,0 0 c,
LOT BLOCK SUBDIVISI N PARCEL NUMBER/S A * 0,0 0 E
2. 874,6-
OWNER ` i� P ONE
3. Jg-trJ IA ' Com\; ! " cam 09-27-82
ADDRESSActual Set Backs in Feet
��' V �f��21\1 North (South East (West
T OR HONE Size of Parcel b' r 9'
CO Zone Classification
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No 0 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.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE
NEW 0 ALT. 0 AIWN. ❑ RPL. 0 MVE.
7, OF ❑ OTHER
WORK 0 BLD. 0 PLMB. rErrilECH. 0 M.H. 11 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. ILocation (Area)
_
8. Y � S�L` FEES COLLECTED
VALUATION' , GAS ELECTRIC WATER SEWER Ownership USE CODE
. OF
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 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 INSPECTJNS / Plumbing
DATE OF APPLICATIO 4I2 ' ^ 1— SIGNATURE OF APPLICAN -✓�'' ) deli? Mech. �.
-
SPECIAL APPROVALS SPECIAL CONDITIONS: / /
NAME DATE (/ Plan Check
Env. Health
SEPA
n..
Planning U
Mobile Home w
Fire Marshall `J
EL.
Co. Engineer Other (Specify)
Utilities --) '�
TOTAL $ < ''
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildin `ec cial� J PERMIT IS NONTRANSFERABLE 09 �. .7 -8.2; 8 7 (. 7 z ' *2 0.0 0a P,
/ �� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL