1980, 12-31 Permit: 80B-5351 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT
(/ "1 60 s.'
f
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 4 * *7(]
1. &,a 5 /-114LEGAL DESCRIPTION - SEE ATTACHED 0
LOT BLOCK SUBDIVISION PARCELiNUMBL2i/S
2. 5) 350
OW ER PHONE 1 2-31 -80
3. Pot oIsI -0561
ADDLES�Q P ZOO Actual Set Backs in Feet 6(j 7 g
�S !l ;ZOO North 'South East (West
CONT A"�►T b.._ P E Size of Parcel Zone Classification
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
❑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 Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF _/ ❑ OTHER Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. 7LIi MECH. 0 M.H. 0 POOL CERTIFICATE
of EXEMPTION
DESGREW WORK O v Enum. Dist. !Location (Area)
8. Oi�
FEES COLLECTED
VALUATION
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private ❑
/ 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
.�� ir 00
DATE OF APPLICATION a 4 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS I SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
4
Planning O
U
Mobile Home w
Fire Marshall —r
II
Co. Engineer Other(Specify)
Utilities 7r 00
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buil Te- n PERMIT IS NONTRANSFERABLE 51 5.1 2 �' a -
o : i. ,, * .
1
�- `` PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL