1980, 11-12 Permit: 80B-3559 Wood Stove (PLAN NUMBER .. APPLICATION/PERMIT rPERMIT NUMBER
I SPOKANE COUNTY — BUILDING CODES DEPARTMENT M 18c 3 - 3Ss-i
eiNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED o (. * * %. 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * r.P L.
2 x ?OWNER PHONE
3.
OWNER,
c,,e 7- q06-26. 9 . 0 * 0 ,-, 0
ADDRESS ZIP Actual Set Backs in Feet
S, 5160S ec)AC7�,eG1Ff 9qe North 'SouthEast (West 3 5 5. 8
CONTRACTOR PHONE Size of Parcel Zone Classification
SsRW/9-,of C..vcrr‹V ecvr-1 /0oc, S3 V-65% i 1 — 1 -8 C
4. ADDRESS ZIP� Type Const. Occupancy Sprinklered c 6 4 7 9
e. 6;.5/Jr ate.tRic'40e!� 79 eac Oyes ❑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 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
], OF / ❑ OTHER - Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. 0 PLMB. 1L�MECH. 0 M.H. ❑ POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) '
8. G�iC�v,t3Ci?/U/N She 4,6- FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER l
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%R)EVERSE SIDE FOR REQUIRED INSPECT
k S .. Plumbing
DATE OF APPLICATION �/ /t / 71) SIGNATURE OF APPLICA ' AL-
Mech. ii
7"00
SPECIAL APPROVALS SPECIAL CONDITIONS: I
NAME DATE 4/cC'tiSe- OK („9i3, Plan Check
Env. Health
SEPA n_
Planning U
Fire Marshall Mobile Home —.1
F.A.T.
Co. Engineer , . Other(Specify)
Utilities
r !
r�
TOTAL $ ' od
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
•Buildingg��echnician PERMIT IS NONTRANSFERABLE 1 1 1 1 2.'i4 0. 3,.5„ 55,9 z *7.0 0 a0.O
91, 6. /00A- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL