1983, 03-15 Permit: 83A-1847 Wood Stoves PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER _ 1
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY et)�31\ - I4�-7 1
PiNORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. North 1105-07 Warren Road
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: v
2.
OWNER PHONE PHONE
3 Mary Summerson
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
North 1105-07 Warren Road 99216 North 'South East I West U 4 * * 6 n 0 0
CgNTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential❑ * 3 C. 0 0 6
Jame Commercial❑
4. ADDRESS ZIP Type Const. Occupancy Sprinklered A * �l
❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
03- 15-03
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
6479.
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 0 OTHER
WORK ❑ BLD. 0 PLM B.)(XMECH. 0 M.H. 0 POOL Certifi.of Exempt. Required Yes!: No❑ Number
or Variance Received Yes No
DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑
8. Installation of (2) wood stove Yes❑ Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9. PUBLIC❑ SEPTIC❑
PRIVATE❑ SEWER❑ Public❑Private 0
UTILILITIES
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 VNt\): APPLICATION
OWNER OR AGENT CL►` �^ r DATE ( � Mech. 30.00
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
Installation of two-wood stove in duplex SEPA
Planning (basement area) Modular/
MFG.Home >
Fire 0-
Prevent.
Prevent. p
Engineer "' Other(Specify) W
UtilitiesT.
` TOTAL $ 30.00
SEPA
MACHINE
Plans PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERMITTED IN THIS SPACE,
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuildingI N 180 DAYS 3 -15 -8 3 18 4.7 z * 3 0.0 0 R.17-1Tech. 3/1°). DATE RUED PERMIT NO. TOTAL