1982, 07-16 Permit: 82A-6120 Wood Stove PLAN NUMBER APPLICATION/PERMIT 271 PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT al. ('I
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
(1).// APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS irk �'
1. E . C? )..0"1 aro. LEGAL DESCRIPTION — SEE ATTACHED C 2 * * 2 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 0
2. t0 4 (,t Al 1,JC iT"`I c. c u * 2 r; 0
OWNER P ONE * cICUC' u
3. �N o i�o�r��. �t� _e).6,57 "2-‘5544— Qc-�% * 4 0 0 0
ADDRESS ZIP Actual Set Backs in Feet
- t ba-V-1 c Qck"�Ll North (South EastWest Ac' ''
CONTRACTOR PHONE Size of Parcel Zone Classification
a. S1E 611.9 :
ADDRESS ZIP Type Const. Occupancy Sprinklered 0 7- 1 6-8 2
onge ❑Yes ❑No 0 Req'd. 4 7 r
DESIGNER PHONE Valuation Building Area in Sq. Ft. =7 6.
/ 60
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
EW 0 ALT. 0,9.13'N. 0 RPL. ❑ MVE.
7, OF 0 OTHER
WORK Illid BLD. 0 PLMB. MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. Location (Area)
8• OC ejil2NN�'I 5'co J E t . M4,6.1. NsR`/ C�A ,,f I FEES COLLECTED
VALUATION
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private El 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 442.0.0eZ)
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 o the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICAT SIGNATURE OF APPLICAM j+moi//.-_ a if Mech. 2-0•
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning r;."-).-._
,:J
Fire Marshall Mobile Home a
_
u
Co. Engineer Other(Specify)
Utilities ,,�y�
TOTAL •__
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
9dine echhnian
icJy� PERMIT IS NONTRANSFERABLE 027.^ 6-'8 2, 612 0 Z *4 O.0 0 a P -
°
tG"0 �'" V PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL