1980, 09-25 Permit: 80B-0894 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT YO Q8c7
V NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
Ll APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
4 * * 7, 00
JO DRE ss —
2 . LEGAL DESCRIPTION — SEE ATTACHED * 7,0 0
L T FLOCK SUBDIVISION PARCEL NUMBER/S z 8 0 3 n
2.
O Q
PHONE � / -25-80
3. 4�a1 3 C -[ -�-LZ 9 -O6&ZJ 6.4 7 9.
s,:" ESS ZIP /- Actual Set Backs in Feet
/Cl V ��S- d 2 �� > Q9�J i(i North (South East (West
CONTRACTOR �� PHONE Size of Parcel Zone Classification
ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No D 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.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. 0 MECH. ❑ M.H. ❑ POOL
of EXEMPTION
8.
78_7E WORK i���f,,� Enum.Dist. I Location (Area) * FEES COLLECTED
VALUATION SOURCE GAS EL TRIC WATER S ER Ownership USE CODE
OF
9, UTILITIES Public 0 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
give authority to violate or cancel the provisions of any other state or local law regulating construction or the
;formance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS <--, _7- ...,
DATE OF APPLICATION °-7S/ SIGNATURE OF APPLICA0 . f�� �� - Mech. 7 NX
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
0
Planning
L.)
- u_i
Mobile Home -'
Fire Marshall L''
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE . 'I"C ` C `[,' Q, 7. L ,, I
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL