1980, 10-23 Permit: 80B-2578 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
C`',— 7
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
f
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 6. x$703 ziTf+ LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S u * * 'TO O
2.
OWNER PHONE * 7 G7~
3. Cf UiS "4;1146-c Sze-e�li5"
ADDRESS j ZIP
�� Actual Set Backs in Feet 2 5 7: 7 zz
a-. /6-103 4I7F( j7+0/Z. North 'SouthEast (West 1 ( —2 3—8 0
CONTRACTOR PHONE Size of Parcel Zone Classification v
4. 6 4 79
ADDRESS ZIP Type Const. Occupancy Sprinklered
Dyes ❑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
D NEW ❑ ALT. ❑ QD'N. 0 RPL. 0 MVE.
7, OF _/ ❑ OTHER Req'd. Recd. Not Req'd.
WORK
0 BLD. 0 PLMB. le MECH. 0 M.H. 0 POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED
8. 142.r.kOZe.e,q t/Yn>t .✓Tc,OE I
VALUATION SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
9. UTILOITIESPublic ❑Private D 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 INSPECTIONSy}�, Plumbing
DATE OF APPLICATION 0 _ 2 J "80 SIGNATURE OF APPLICANT aurf�'0 r -_ ✓ Mech. 6 -7`
SPECIAL APPROVALS SPECIAL CONDITIONS: J
NAME DATE Plan Check
Env. Health
SEPA i +i
Planning
-
Fire Marshall Mobile Home �.�
Co. Engineer Other(Specify)
Utilities
TOTAL $ ®Q
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE I o. o J -
} � �2 � ��.� 2 ''S7.8 � * 7. O.Oa �
g` " �`� !0/z3)(5a PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL