1980, 08-22 Permit: 80-9012 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
J SPOKANE COUNTY — BUILDING CODES DEPARTMENT �v r�D/�
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 1 0 4 * * 7,0 0
�� ,.� �1 �' ���� LEGAL DESCRIPTION — SEE ATTACHED * ?. 0 0 to
LOT BLOCK SUDIVISION PARCEL NUMBER/S
2. 9 0 1, 1
OW EER � ,, NE08-22-80
3. .eicnn%"t a: (54'_A-td �f� .
ADDRESS ZIP Actual Set Backs in Feet 6 4 7 9,
rr 7.Z j/J,Z' i ��(� ,/}� ,�
‘79.. .,‘,„,.
` `�ry-` ,-t om. North 'South East 'West
CONTRACTOR P6HONE Size of Parcel Zone Classification
y
4. -Ct"
Aup RESS ZIP Type Const. Occupancy Sprinklered
:c _,/?..4,4'i. Oyes ❑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.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW CIALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. [l MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) T
8.,.lam i' '4.-4 • ) A �t 1 I FEES COLLECTED
VALUATION 'L��'L-'- l
SOURCE GAS ELE RIC WATER SEWER 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
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 INSPECTIONS J� /� Plumbing
DATE OF APPLICATION C1 — . 'YL' SIGNATURE OF APPLICANT I'A ' A i o l,�4 �,aMech. ill
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA ›—
d
Planning O
V
Fire Marshall —
Mobile Home
Co. Engineer Other(Specify)
Utilities
TOTAL $ 7----
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
O ,
Bui ing Tec nicia ��,/ PERMIT IS NONTRANSFERABLE Q 8 2.2-.8 9 012 z * 7.0 a I —
iQP )_0(a,iia. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL