1980, 10-21 Permit: 80B-2376 Wood Stove PLAN NUMBER APPLICATION/PERMITPERMIT.NUMBE.R
CISPOKANE COUNTY - . BU.!LDING CODES DEPARTMENT p � �?NORTH 8110JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
04 * * 7. 00
1 JOB ADDRESS
1.
N , , `lLiti LEGAL DESCRIPTION — SEE ATTACHED * 7 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 7 0 0 U
2.
3.
OWN
' i I*'A iv y,.
R SS Actual Set Backs in Feet 2 3 7. 5
AD
�.. NA (Al- t LJ �aNorth (SouthEast 'West 1 G -2 1 —8 0
CONT b_ PHONE Size of Parcel Zone Classification
6,479.
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
NEW D ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. �MECH. 0 M.H. 0 POOL
of EXEMPTION
$ DESCftaORK �� Enum.Dist. (Location (Area) FEES COLLECTED
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 INSPECTIONS Plumbing
DATE OF APPLICATION /0 -'2/—orC SIGNATURE OF APPLICANT AfiL /,i.... / i Mech. 7
r
SPECIAL APPROVALS SPECIAL CONDITIONS: / AP
Plan Check
NAME DATE
Env. Health
SEPAIn
Planning ca
Mobile Home {i'
J
Fire Marshall
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bw •g Te_iiirha ian PERMIT IS NONTRANSFERABLE t
� ,��-as n' `nZ 7,6 7. 00o pi
-
-.or _.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL