1981, 11-12 Permit: 81B-1739 Wood Stove PLAN tium� R, APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT el 0 15 - I- .7
0.) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
' APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS0 L) * * 1 7' 0 0
1. 0-7 c III LEGAL DESCRIPTION — SEE ATTACHED * } 7 0 0,
LOT BLOC UBDIVI ION PARCEL NUMBER/S
2. * 17OOY
OWN R PHONE A * 0, 0
2.7 50
3.
ADD�gESS Z P / Actual Set Backs in Feet 1 7 3 R z
V . ?�% ." rti
;73 20 6 North 'South East West
CONTRf4gTfyR PHONE Size of Parcel Zone Classification 1 1 - 1 2-8 1
L
4' ADDRESS ZIP Type Const. Occupancy Sprin(klered 64 7
Dyes ❑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.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
i!NEW 0 ALT. 0 A N. 0 RPL. 0 MVE.
7, OF ❑ OTHER
WORK ❑ BLD. 0 PLMB. MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION _
DE C IBE,WORK Cr Enum. Dist. Location (Area) '
8 00 .....�0• V V I FEES COLLECTED
I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public D 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
17
DATE OF APPLICATION /1 —.1 2 _ '� / SIGNATURE OF APPLICANT. 4-4-...n, .4 '..�.ar+ / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA %`-
a.
Planning
CC.„)„)
Mobile Home LU
Fire Marshall J
ii..
Co. Engineer Other (Specify)
Utilities ���
TOTAL $ r
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
(----...@ Tec cianl - . PERMIT IS NONTRANSFERABLE 111,y'.l Z.—8 1 1 7 19 z * 1 7.0 0 a'
� )_, PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL