HomeMy WebLinkAbout1980, 11-04 Permit: 80B-3227 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
H
SPOKANE COUNTY — BUILDING CODES DEPARTMENT �oa -52-2---)
e_../ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
04 * *7.00
1. G� /3G2o ..5N4 LEGAL DESCRIPTION — SEE ATTACHED *7 0 0 N
LOT BLOCK -SUBDIVISION PARCEL NUMBER/S *70 0
2.
OWNER PHONE A * 000 8
3. avice fll. CONE 9. 7--06QZ
ADDRESS ZIP Actual Set Backs in Feet 3 2 2 6 .__
E. >3f 20 3RO 99Z16 North 'SouthEast 'West
CONTRACTOR PHONE Size of Parcel Zone Classification 1 1 -0 4—8 0
s4.vE 479.
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
.$,91,7( Oyes ❑No ❑ Req'd.
DESIGNER C PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. El RPL. El MVE.
7. OF / ❑ OTHER
al/ Req'd. Rec'd. Not Req'd.
WORK I=1 BLD. 0 PLMB. MECH. ❑ M.H. ❑ POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) r
8 w(�Q$eAtl'A!/Ai0 S'275a FEES COLLECTED
I
VALUATION SOURCE GAS ELECTRIC WATER SEWER 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 REVERSE SIDE FOR REQUIRED INSPEC ONS Plumbing
DATE OF APPLICATION O- SIGNATURE OF APPLICAN \` \ ` Mech. 7
\\ v
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning C
C
Fire Marshall Mobile Home - L
L
Co. Engineer Other(Specify)
Utilities
TOTAL $ ': 00
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE �'•1' *' Ole -
c' - tile/AO
;EISUE .:8 3 �. OTAL
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL