1982, 12-22 Permit: 82B-2138 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY 4 Sz _ Z I
(?-/)
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. E. 12817 Walton Avenue
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER PHONE P E
Bruce Collier -8119
0 ti x x ',-=3 MAILING ADDRESS ZIP Actual Set Backs in Feet to:
Same 99216 North 'South East I West ;_ '''' -
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential Elf, :
�ame Commercial❑
4. ADDRESS ZIP Type Const. ' Occupancy Sprinklered 1 li 7 -`
❑Yes 0 N ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.FioorArea ` `\–
{, (i /N
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 ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF WORK ❑ BLD. ❑ PLMB. CX MECH. ❑ M.H. ID POOL ❑ OTHER Certifi.of Exempt. Required Yes CI No Number
or Variance Received Yes No
DESCRIBE WORK / Shorelines/Flood Hazard Plans Required❑
8• Wood Stove / Yes❑ Not Applic.❑ Received ❑
VALUATION SOOURCE GAS ELECTRIC WAPUBTER
O SEWAL E Ownership FEES COLLECTED
9• UTILITIES PRIVATE❑ SEWER❑ Public❑Private❑
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 provision .f any other s -te or local law regulating construction or the performance
of construction.SEE REVERSE D 4R REQUIRE P I PECT •NS Plumbing
SIGNATURE OF APPLICATION /
OWNER OR AGENT / / ,;.i.. ��L DATE ! Z o r�L--- Mech. 20.00
SPECIAL APPROV.7 •ECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning
Modular/
MFG.Home ),
Fire
Prevent. a
O
Engineer Other(Specify) v
W
—
Utilities 20.00
TOTAL $
SEPA
MACHINE
Plans PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERM TTED IN THIS SPACE,
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building gf P /,,� IN 180 DAYS 12 2 2 -8 2 213.8 z * 2 0.0 0 a H
Tech. A DATE ISSUED PERMIT NO. TOTAL