1981, 07-20 Permit: 81A-7189 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT /r
0.,/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
E ‘2.10C1 ������ � LEGAL DESCRIPTION - SEE ATTACHED 0 4 * * 1 7.0 0
1. —
LOT BLOCK SUBDIVISION PA�;CEL NI�M ',BER/S * 1 is 0 0 �
2. 4934' 3 9O `� �
OWNER PHONE 4( 7 1 H.8 IR._
3. e't G- PACS CitZ4 --2g631 07-20-81
ADDRESS , J/ ZIP Actual
Actual Set Backs in Feet
E . 126/40 f(l)cuEs(.V a"/1 Z_\(.. North 'South East 'West 6.4 7 9.
CONTRACTOR PHONE Size of Parcel Zone Classification
larn6
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes CI No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
02* * 1 0,00
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
* 1000 n
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. 7 1 9.0-2
No.Baths No. Stories No. Rooms No. of Dwellings 0 7—2 0—8"1
TYPE
KNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER o
WORK CIBLD. CIPLMB. MECH. CIM.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. 6 4 7 9,
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8. A3AfaDJ Ir%C\ otic- 4. IT 0NIOANV-1 FEES COLLECTED
frb
VALUATION rrff
I SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODEIoNR�/
OF
9. UTILITIES Public ❑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 010,00
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
1 ,)
DATE OF APPLICATIO ft 2 SIGNATURE OF APPLICANT �� .ti���SOS ech. 17LCO
---. SPECIAL APPROVAL' SPECIAL CONDITIONS: /
NAME DATE Plan Check
Env. Health
SEPA n.
Planning _j
!J
Fire Marshall Mobile Home J
Co. Engineer Other (Specify)
Utilities
TOTAL $(1-77.Q
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. ''77
Building Technician`?ori-'‘i PERMIT IS NONTRANSFERABLE ;0.0. 0'`-.6`'1 71'8.9 °z *,W'0,0 °a -
,
-ee--c- Q PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL