1982, 03-19 Permit: 82A-1984 Wood Stove PLAN NUMBER APPLICATION/PERMITPERMIT NUMBERr
DEPARTMENT .1(1N. � 98'
SPOKANE COUNTY - BUILDING CODES "
NORTH 811 JEi{FERSON / SPOKANE,WASHINGTON 90—i° / (509) 456-3675
v APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD 7O MAKE 3 COPIES
i. / 13//D ADDRESS e>, /6 /4.7
6
/�,/G`>,q, ,c/, LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 1 ;?, 6 :
3. O,Af R PHONE 1 9-0
A�/DRESS /// C ZIP Actual Set Backs in Feet 6.�- 7 9.
///S 4/9` cl�j" .4,4 0/ 9'V" North 'South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
Elves 0N El 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.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE El NEW ❑ ALT. El AD'N. El RPL. El MVE.
7. OF e7u rr I=1 POOL
WORK
0 BLD. ❑ PLMB. MECH. 0 M.H. POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
L of EXEMPTION
DESCRIBE WORK ( / Enum. Dist. I Location (Area) ' FEES COLLECTED
8i?S7i.'GVr71/:11 �T eD�sS tadr
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILLITIESPublic ❑Private El 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 -gu :ting construction or th-
performance of construction.SEE REV RSE SIDE FOR REQUIRED INSPECTIO / ;Plumbing lumbing
,i -Z
DATE OF APPLICATION �`, SIGNATURE OF AP' .A 1 ` i' / ,,./� Mech. f1.u0
SPECIAL APPROVALS I SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
is
Planning
_ c
Fire Marshall Mobile Home L
L
Co. Engineer Other(Specify)
Utilities TOTAL $ 2-47'61C)
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE �I.�I ' '
0 3 � 9�°—8 2 11 8.4 Q�cpr���
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMITNO.