1979, 12-07 Permit: 79-8832 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 1
SPOKANE COUNTY - BUILDING CODES DEPARTMENT t 7, - 08 ..2--
NORTH
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 4 * *7.0 0
JOB ADDRESS * 7 0 0 th-
1. B��.� I 1.4\/" c LEGAL DFSCRI�lTION - SEE ATTACHED
LOTBLOCK SUBDIVISION PARCEL NUMBER/S *7 0 0 6
2. ^eE *0 0 0
OWNER
3. omys/16 �� P :r �Z �' 8 831
2
ADD ES ,(� ;5,2_160. Required Set Backs in Feet 1 2—.0 7_'7,
1 -7,16 ,-`v North 'South East (West 4 7 9 7
CONTRACTS PHONE Size of Parcel Zone Classification
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
Oyes ❑No D Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
/ No. Baths No. Floors No. Rooms Rec. Room
E
TYPE NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF _/ ❑ OTHER Req'd. Recd. Not Req'd.
WORK
0 BLD. 0 PLMB. MECH: 0 M.H. ❑ POOL CERTIFICATE
of EXEMPTION
I DES RIBE WORK
8 1.4c297
c] ✓ FEES COLLECTED f
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
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. Plumbing
DATE 1x 7/19 SIGNATURE , /�t'IL_ . Mech. 7,
00
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
a
SEPA
Planning — u
a
ci
Mobile Home
Fire Marshall z
Co. Engineer Other(Specify)
ltilities
TOTAL $
e Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
O
A Checklist 9/�7 � THIS B�COMF,�S A PES MIT. _
DATE/Ay / OFF i L _ % �• ,, 7. G 0CL
/
APP•:, -, FOR ISSUANCE _