1980, 06-05 Permit: 80-5454 Wood Stove PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
b0-54641
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS C 4 * * 7.0 0
1. NI. 2 CcO- , \AI coo w cktz.cJ
LEGAL DESCRIPTION - SEE ATTACHED * 7,0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S *Z O O 6
2.
OWNER PHONE E * 0.0 0 v
3. B r R3Q. ou m q.•.) Rzz.-o\G
ADDRESS ��/ ZIP Actual Set Backs in Feet 5 4 5.3
N ° 2-6c3 a r'Y oODwf3, Ckcc-Z--I(., North 'South East (West 0 6-0 5-8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
4. S rsrtnc z 6.4 7 9,
ADDRESS ZIP Type Const. Occupancy Sprinklered
SfA-ri,LF ❑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 Unf in. Basement
6.
11
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE L1J'NEW ❑ ALT. ❑ AD'N. k79PL. ❑ MVE.
7. OF ❑ OTHER
WORK CIBLD. ElPLMB. ElMECH. VM.H. I: POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8. WC)00 t12hIGNCI rOL)E i
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public 0 Private 112( 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 „.f/. ' r //a SIGNATURE OF APPLICANT :GG,� ,-- Mech. ?.00
SPECIAL APPR o ALS SPECIAL CONDITIONS:
NAM• DATE Plan Check
Env. Health
SEPA a_
Planning CD
;.7
-
Fire Marshall Mobile Home .w�
iir:
Co. Engineer Other (Specify)
Utilities
TOTAL $ --2,0c-.)
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildin Technician PERMIT IS NONTRANSFERABLE � --Q �- 8 Q '4`5 4 2 7t 7,Q,Q,2 r
y/._L- y 0/90 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL