1983, 09-16 Permit: 83A-9159 Wood Stove, Chimney PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY —27.'- rC '...71q7
...... i NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1. STRIgT ADDIT) 1 0.7 v1/41 4c....4_,{...4.... , PARCEL NO.
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
ow4EL, „ koct....11 N ,9 -4---e.2,_cl-- HONE
MAIII3,7
I ING AIIRE1
1,ijeA,t- 1-6- ":721,6.2 NActorut:1 Set Backs in Feet to:
'South [East I West
CON. 04.E. LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential ID
— Commercial a
ADDRESS ZIP Type Const. Occupancy Sprinklered
OYes ONo 0 Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
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 ,21<;/0,/ 0 ALT. 0 A9'N. 0 RPL. 0 MVE.
7. OF0 OTHER
0 BLD. 0 PLMB.. MECH. CI M.H. El POOL Certifi.of Exempt. Required YesE] No0 Number
WORK or Variance Received Yes 0 No El
Shorelines/Flood Hazard Plans Required 1=1
8. DES,..C„lj,11 342E WOF. < e„..m....4,0/6 ile p.aytsooz ji...„ c4.41 r... Is j.1 ...r.I
Yes 0 Not Applic.0 Received 0 ,
I -
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
UTI «
9. OF
UTILITIES PUBLIC El SEPTIC El
PRIVATE El SEWER 0 Public El Private El
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 canc L.the provisions of any other state or local law regulating construction or the performance ,
of construction.SEE RE SE SIDE F RI ED IP$SPEQ7NS Plumbing
SIGNATURE OF APPLICATION (I 40 V
OWNER OR AGENT Lak. tirNt OL- ' DATE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: ( EE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check '
Env.Health ;
,
SEPA
Planning
Modular/
MFG.Home >.
Fire C. :
Prevent. 0 i
Engineer Other(Specify)
—1
Utilities
_ TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
PERMIT IS NONTRANSFERABLE
Plans THIS BECOMES A PERMIT.
Exam.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED ,
,
Building
7 IN 180 DAYS 1 4 Q -A
Tech.
DATE4SittEDL U -u 1 PERMIT .5.9 * 3 a 0 0 ici)eid.