1981, 01-05 Permit: 81A-0013 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
��t
i' SPOKANE COUNTY - BUILDING CODES DEPARTMENT
M iA - 11
/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1. JOB IDD I o SIl 11� ^7\� ,'
N II � V-vf LEGAL DESCRIPTION — SEE ATTACHED � -
LOT BLOCK' SUBDIVISION PARCEL NUMBER/S 7 042rJr"
2. �0
OWNER PHONE ,,It? all T�-
s. ��-►�/ k3 . I\ i X-1-�-ri\ K6 x-- 5x`24 `
AD DESS k I 1 J /\� P ActualrSet Backs inFeet 7. r��� "'�'
NN C.� W12, �/D"4`/?� North (South East (West
CONT�b PHONE Size of Parcel Zone Classification - J 64
4' ADDRESS ZIP Type Const. Occupancy Sprinklered A'
Dyes 0N ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
04 * *7, 00
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
*7.00
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement * 7 Q Q c
6.
�/ No.Baths No. Stories No. Rooms No. of Dwellings A * Q Q Q E3
TYPE LTJ NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. 2/:
of EXEMPTION Q 1 -Q 5_R 1
DESC RKo / Enum.Dist.Ve .Location (Area)
8. 0FEES COLLECTED
K 6 4 7 S.
I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 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
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 INSPECTION �n n Plumbing
DATE OF APPLICATION /p7 - '1/` (, SIGNATURE OF APPLICA T eL4L>1_4 41_,..L_j Mech. �� 0 v
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >--
a_
Planning
U
Mobile Home "'
Fire Marshall
w
Co. Engineer Other (Specify)
Utilities CO
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
, Bu din• clinician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED' PERMIT NO. TOTAL