1983, 09-08 Permit: 83A-8738 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY , ' 37
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
/
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. 5 30-1 (KpooDwPi ..b
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
O NER PHONE PHONE
SL- SOT) ►c.A e_ 9Zt-494Z-
3. MAILING ADDRESS ZIP Actual Set Backs in Feet to:
' 33 0-7 ln)bpb wA 91:42_0 to North I South East I West
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential❑
•Pk�� Commercial❑
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
7
TYPE L9-NEW ❑ ALT. ❑ AD. OFS�'N. ❑ RPL. ❑ MVE. ❑ OTHER
WORK
0 BLD. ❑ PLMB. [:-1�iiECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes No❑ Number
or Variance Received Yes❑ No❑
DESCRIBE WORK A ,c� Shorelines/Flood Hazard Plans Required❑
w()O ,Q A��nnhS\WE, Yes Not Applic.❑ Received ❑
1
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9. OF
UTILITIES PUBLIC CI
PRIVATE❑ SEPTIC❑
SEWER❑ Public❑Private❑
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 Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority 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
SIGNATURE OF ' APPLICATION a / �
OWNER OR AGENT vQ7��- �= - �/ 'ale DATE /_ O/ _ 3 Mech.
tO '—
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning Modular/
MFG.Home
Fire ii
Prevent. fL
O
Engineer
Other(Specify) UJ
J
LT_
Utilities ZO
TOTAL $
-
SEPA
MACHINE
Plans PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERM TTED IN THIS SPACE,
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED ro
a 9n7
Buildingf ..\ IN 180 DAYS DATE' 7UEDo8 -8 PERMIT4O. '' 8 z * O' O fO1 AL
Tech.