1980, 07-17 Permit: 80-7287 WoodstovePLAN NUMBER
U
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
1.
2.
3.
4.
JOB ADDRESS
East 13412 5th
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
SUBDIVISION
OWNER
Lillian Duncan
PHONE
926-6921
PARCEL NUMBER/S
ADDRESS
13412 East 5th
CONTRACTOR
Western Thermal Systems
ADDRESS
North 2315 Division
99216
Required Set Backs in Feet
North 'South [East West
PHONE
483-1017
Size of Parcel
Zone Classification
ZIP
99207
Type Const.
Occupancy
Sprinklered
Eves ❑No ❑ Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area 1 Basement Area
Garage Area
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Storage
Rancher
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. E MVE.
❑ BLD. ❑ PLMB. XXMECH: ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Install Fisher Insert - woodburning
9.
VALUATION
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of cgrlstryction.
DATE
;//7 cf0
SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE OFFICIAL
// 9 `a •V/ V c)
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
7',c?O
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
DATE
PERMIT NUMBER
8o - 7z0"7
D4* *7.00
*7.00 rri
*7.0025
E *0,00
72862
07-17-80
z 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 '1,] 7 -' 8 L'
72 8.7 2
*7.00 aT2