HomeMy WebLinkAbout1981, 08-10 Permit: 81A-7953 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMITBiA NUMBER
.. . 4SPOKANE COUNTY — BUILDING CODES DEPARTMENT
e/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS Gil * * 17. 00
1. (V. 9z,o Wc�ot7LAlt)N LEGAL DESCRIPTION — SEE ATTACHED * 1 7 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 15-5-4/-2_ — 1'73 1
7 5. 2
2. `1 i 13ROADLOhyE
OWNER PHONE ci 8_ 1 0_8 1
Ric 14
3 ADDRESS`' pRD 71 Di)
!' '`.' ZIP y j 339 Actual Set Backs in Feet 6 4 7 9
N. l zQ I.VooD LA u1I1 SPokMIg- `?q2i6 North 'SouthEast 'West
CONTRACTOR PHONE Size of Parcel Zone Classification
4.
ADDRESS ZIP Type Const. Occupancy Sprinklered u
❑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.
TYPE / No. Baths No. Stories No. Rooms No. of Dwellings
LT NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. 0 PLMB. I2/'-MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) '
FEES COLLECTED
8. W00.2 5-roVE- INS-r'ALLATioti
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. 900 UTILOITIES Public D 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 .ermit does not presume
to give authority to violate or cancel the provisions of any other state or local I. gu . ing constructiop or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTI•NS Plumbing
,ptl
DATE OF APPLICATION /° • SIGNATURE OF APPLICANT 111 •_1 Mech. 7k
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
a.
Planning O
_ v
Fire Marshall Mobile Home - W
J_
r_c7 W
Co. Engineer
ger(Specify) 10 YX
Utilities r7 OO
TOTAL $ 11 )0c
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE t0.8 i1eh-i8t1 795,3 5 *1 Z.0 0 °a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL .