1980, 11-25 Permit: 80B-4229 Wood Stove PLAN NUMBER APPLICATION/PERMIT ,vJ PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT '/ ��� 2 ��
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. e lc L)174 k -k/ ( LEGAL DESCRIPTION - SEE ATTACHED * 7. 0 0
LOT LOCK SUBDIVISION PARCEL NUMBER/S
L. 2 2.8
2.
OMJER PHONE 1 1 -25-80
3
ADDRESS 7 - A/ ,� ZIP
p3 -2D�L Actual Set Backs in Feet 6 4 7 9.
6'Ice Y-4" . --e... (am/u[JJ.4 yj p.47_, -kJ v97 v7 Z46 North (South East 'West
CSIVTRACTOR PHONE Size of Parcel Zone Classification
4. 4/ lCt-yee- bA-yam, i...,71%v 99 .2 -3„�'
ADDRESS ZII�P Type Const. Occupancy Sprinklered
_ '�'/nt • L)7 rl.',L '�' Ni 17 /''�v4" - 7 C• -�,lC, ❑Yes ❑No ❑ Req'd.
DESIGNER 7`� 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.
TYPE ry No.Baths No. Stories No. Rooms No. of Dwellings
qNEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF -
WORK 0 BLD. 0 PLMB. )4 MECH. ❑ M.H. 0 POOL ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8. . �e ( -fes k , r,,e ` If
e< }e4 —2 I FEES COLLECTED
VALUATION SOURCE GAS fj�,1�ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES Public 0 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 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 r•gulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION / p Plumbing /
DATE OF APPLICATION /1 -.2lv -Sid SIGNATURE OF APPLICANT f( 4 711" ,C)--(' r Mech.
/ -4-‘L.
SPECIAL APPROVALS SPECIAL CONDITIONS: i
NAME DATE _ Plan Check
•
Env. Health
SI,4t.i.11 jfe it,€-, , ,,,t,,,-t a .e".6czti tee.
SEPA n.
Planning
Fire Marshall � ,LG{,('j1-'
(1t�LL / L Mobile Home
Co. Engineer /y T' Other(Specify)
Utilities
TOTAL $ 7-GY2_
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui i , chni ian//� u'\ ; PERMIT IS NONTRANSFERABLE 1 1.—.2�
55;i558 0 4.2 2:9 g *7.0 0 a IJ-
C p'�/� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL