1983, 01-13 Permit: 83A-0322 Wood Stove PLAN NUMBER APPLICATION/PERMIT P MI NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY `03-2
e, ) NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDREI PARCEL NO.
1. tea, 14-2-4-- I/'\. IBJ p 1; •, t72.
LOT BLOCK SUBDIVISION iEGAL-DESCRIPTION:
2.
3. OWN iR �� PILO %337 PHONE
19\ ,MAILING A DRES p ZIP Actual Set Backs in Feet to:
> I q-2.-I-- vJ I t" 2 .- North 'South East I West
CONTRAr.„. LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential❑ C L * * 2 L C C
Commercial❑
4. ADDRESS ZIP Type Const. Occupancy Sprinklered x - ``. ( r, .x
❑Yes ❑No ❑Req'd. A
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. -
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse i —
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement _ 6 6 %
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE K.-NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. TECH. ❑ M.H. 1=1POOL Certifi.of Exempt. Required Yes❑ No❑ Number
or Variance Received Yes❑ No
8. DESCRIBE ORK Shorelines/Flood Hazard Plans Required 0
Ki 000i OV gj Yes❑ Not Applic.0 Received ❑ I
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9. OF PUBLIC
E❑ SEWER❑
UTILITIES Public El Private 0
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 l
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- Building
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction.SEE R E SIDE FOR R UIRED INSPECTIONS Plumbing t
SIGNATURE OF APPLICATIO
OWNER OR AGEN DATE .�✓`` Mech. �r
SPECIAL APPROVALS SPECIAL CON IONS:(SEE REVERSE SIDE FOR NO E)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA f
Planning
Modular/
MFG.Home
Fire a
Prevent. 0
Engineer Other(Specify) W
J
UtilitiesLT.
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN,THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building �2,
DAT UEE IN 180 DAYS 3 P 8 3 ERMIT N 2.2 z * 2 O. 0 0 2dTAL
Tech.