1981, 02-13 Permit: 81A-1487 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 4 g/A--i-/e7
VNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
69/7 F LEGAL DESCRIPTION — SEE ATTACHED 4 * * 1 7. 0 0
1. O T BLOCK f7-4.,
[7V sato PARCEL NUMBER/S . 1 /' r, 0 s
2.
1700`
it
O y�LR� QjI
PHONE
3. 4I,L�L ii � ) f 2$—.0(��, A * C, i'!
ADDRESSyet./ZIP Actual Set Backs in Feet
1f94D %.:14.40_,�t�- o klli, � ' 'West
1486
� North South East
NTRACTOR PHONE Size of Parcel Zone Classification 0 L- 1 3- 1
4. ADViRESS ZIP Type Const. Occupancy Sprinklered C7 6.u. 7 C.
�QilsZ1 ❑Yes ❑No 0 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. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF 0 OTHERReq'd. Recd. Not Req'd.
WORK I=1 BLD. 0 PLMB. IN MECH. LI M.H. I=1 POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) '
8it_ FEES COLLECTED
VALUATION SOUKS� ELECTRIC WATER SEWER 1
Ownership USE CODE
OF
9. UTILITIES Public ❑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 INSPECTIONS Plumbing
DATE OF APPLICATION —/.3— � SIGNATURE OF APPLICANT).�� c� GZT^�JrMech. 4,
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
a
Planning
Sw O
-eW Q—J 7—$0 _ v
Mobile Home w
J
Fire Marshall ��.2/6.-7te., ,, _,,/ _
Co. Engineer0 " Other (Specify)
Utilities //4-41
TOTALI 7• 1'
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Te hnic' PERMIT IS NONTRANSFERABLE 2 ,, 1.4 8.7 Z *17.0 0 d F -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL