1983, 09-12 Permit: 83A-8904 Wood StovePLAN NUMBER
APPLICATION/PERMIT
Cover DNA
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
Fin. Basement
NORTH 511 JEFFERSON / SPOKANE, WASHINGTON 99280 / (509)455-3575
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
STREET.ADT
DRESS
,. ��
6.
PARCEL NO.
LOT
BLOCK
SOODIVI81ON
LEGAL DESCRIPTION:
2.
I
Wall Na.
Ft.
No. Fin. Room.
OW
ER
P N
PHONE
w
i U OTHER
3.
WORK D BLD. ❑ PLM MECH. D M.H. D POOL
—/
.kqulrA
Y.0 NoO
A,1 laidBYka In Feet to:
Lam' pal
or V.I.
Nom south East Wall
CON CTR
LICENSE EXPIRES
PHONE
SImIXPwcel Zone Clamificellan
NkkxNW
Shoreli,wlFlood Huard
Baro ReguiredU
Wrwrercl.1 ❑
4
ADDRESS
Received❑
ZIP
Type Good.
Occupancy
WinklerM
GAS
ELECTRIC
I pUBLC�
S%EAGO
OnwNilp
ovas DNo ORI'J.
DESIGNER
PHONE
Nem CxmLValualkit
Pe,ncdeledvalustlen
Totel Bldg. Floor Ars
S.
PRIVATE
SEWER❑
Pddic D PrIMeO
ADDRESS
ZIP
Alin Flux
Upper Flaps
Gerepel5torpe
Greenhouse
PERMIT UMBER
CHANGE OF USE FROM
TO
Cover DNA
U., Deck
Fin. Basement
Unfln. Basement,
6.
i -.
Wall Na.
Ft.
No. Fin. Room.
No. Dwellings
TYPE NEW ❑ ALT. ❑ Ap'N. ElRPL. ❑ MVE.
i U OTHER
WORK D BLD. ❑ PLM MECH. D M.H. D POOL
Cedifi IXEaempt.
.kqulrA
Y.0 NoO
Nuirl
or V.I.
Rcdva
v..o Non
oESCRIBEWgg,
6.
K
Shoreli,wlFlood Huard
Baro ReguiredU
I%
Y..o Not Applin❑
Received❑
VALUATION
SOURCE
GAS
ELECTRIC
I pUBLC�
S%EAGO
OnwNilp
FEES COLLECTED
9.
I
UTILITIES
PRIVATE
SEWER❑
Pddic D PrIMeO
I hereby certify that 1 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. AN provisions of laws and ordinances governing this type of
will be complied with whether specified herein or not. The granting of a permit does not presume t0 give au-
Buildingwork
thority to violate or cancel the provisions of any other slate of local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REOUIR INSPEC IONS
Murrill,
SIGNATURE OF APPLICATION4 L, -3
OWNER OR AGENT DATE
Man.'
SPECIAL APPROVALS
is
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Haslth
SERA
Planning
M
MFFG.G, Home
�
Fire
p
%.veM.
C
Engi,wx
Ome,(Spaclly)
L
u
Ulnuim
u
TOTAL $ o
SEPA
WHEN MACHINE VALIDATED IN THISSPACE,
plan.
PERMIT IS NONTRANSFERABLE
THIS BECOMES A PERMIT.
Enm.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Ballmng
T¢h.
/ I
O�
IN 180 DAYS
Il 9 j 2 _ S
a' 4 -�
o
A 0' �', O fOYAL
DATEi35UfD` PER.PrI ,