HomeMy WebLinkAbout1979, 10-01 Permit: 79-4993 Wood Stove AN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT /1 .7 q- 4t9`73
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /0—/ --2 7
APPLICANT: COMPLETE NUMBERED SPACES — PRESS,. #AR.n TO MAKE 4 COPIES
JOB ADDRESS '
04 * *7.00
1.
,f/ O) 0A-,f) LEGAL DESCRIPTION — SEE ATTACHED *7.0 0 n
LOT BLOCK SUBDIVI N PARCEL NUMBER/S 4 99 2
2.
OWN PHONE 1 0–01 –7 9
3
ADDRESS AIAIOR y 3 • �AGN� 9p?'2-es.-7
Required Set Backs in Feet B 6 4 7 9.
S - 4// /AJ A-R j2 J P 0 ecio q q-2-i (j North 'SouthEast (West
CONTRACTOR PHONE Size of Parcel Zone Classification
4' ADDRESS Pei"•y ZIP Type Const. Occupancy Sprinklered
Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER -
WORK 111BLD. ❑ PLMB. KMECH: ❑ M.H. CIPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. WO D -gT0r//=' .z Li_il-r70N FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
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. Plumbing +�
DATE / d —/-----7 lra�LI SIGNATURE cY,i12 '-'� Mech. /
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA
I--
Planning - ;U
Mobile Home `o
Fire Marshall z
Co. Engineer Other (Specify)
Utilities TOTAL $ 7
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS B COMES`A PEiMT.
IU - 01-7Y
, f . 4 6
l 2�, i * /. l JO
1-
DATE//e2-79 OFFICIAL 1:WA`tf
APPROVED FOR ISSUANCE -