1980, 09-30 Permit: 80B-1112 Wood Stove PLAN NUMBER
APPLICATION/PERMIT PERMIT NUMBER
r/'9%o SPOKANE COUNTY — BUILDING CODES DEPARTMENT�` �/f
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS /I * * 1 7 0
l]/J� A -0--.17-11, /X LEGAL DESCRIPTION — SEE ATTACHED1. ,, .i ; n
LOT BLOCK' SUBDIVISION PARCEL NUMBER/S
2. 1 1 1. 1
OWNER 0 PHONE �i %—J -4' 9,24,-- eG,,
3. ADJ RESS ZIP Actual Set Backs in Feet - 6, 7 C
�. 1,-TOR 'I�71-1-61‘./ �i Y� � qPHONE-1 6- Size North Parcel one Clasificat
'South Z 'West
CO
4 Ndg,a4 'a..-
ADDRESS ZIP Type Const. Occupancy Sprinklered
PdAa:ykal ❑Yes ❑No 0 Req'd.
DESIGNER PHONE ValuationBuilding Area in Sq. Ft.
5. gU,2ao
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 P NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF 0 OTHERReq'tl. Recd. Not Req'd.
WORK
0 BLD. 0 PLMB. kMECH. 0 M.H. ❑ POOL CERTIFICATE
of EXEMPTION
DE iCRRIB,,Z WWORI. j - JR
Enum.Dist. Location (Area) ' fEESCOLLECTED
8.
VALUATION SOURCE GAS ELECTRIC I WATER S USE CODE
OFOwnership
..6Q(3 +" UTILITIES Public 0 Private 0
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included 4/ _
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building J4'
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 INSPECTIONS Plumbing
DATE OF APPLICATION 9— /'- S` SIGNATURE OF APPLICANT k d 4•,,'= ,..r Mech. �'—+
SPECIAL APPROVALS SPECIAL CONDITIONS: Illk
NAME DATE Plan Check
Env. Health
SEPA
Planning i)c
— r..0
Fire Marshall Mobile Home ___J
i.
Co. Engineer Other(Specify)
utilities e_..,--',1)
TOTAL $ //--
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
( i ';' * 17, 0 0 ' -
BuyiJging Tech`�clan PERMIT IS NONTRANSFERABLE 9 3 "8 0 1 i 2 z o. I-
,ka. 1 L.1,'7a'p/b:4 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL