1980, 10-17 Permit: 80B-2185 Wood Stove PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
14 SPOKANE COUNTY — BUILDING CODES DEPARTMENT pe-"�
0../ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
e j/7.- 1 q 1 LEGAL DESCRIPTION — SEE ATTACHED C 4 * * 7 0 0
LOT B K SU DIVISION PARCEL NUMBER/S * 7, p U
2. 2 1 =' ! "
ONIER ri PHONE
3. `1 i L% --.1611,1--6e-l''.79.2-3'/, 1 0— 1 7 8 0
ADDRESS ZIP Actual Set Backs in Feet
t"l . /it(:%.3 q.ck, (t;',-Li-e_. iS-e.,-� .-- A q°:*-74-7 e.r' North 'South East (West 6 a ! 9
CO TRACTOR PHONE Size of Parcel Zone Classification
)
4. r44.J ,
Al9DRESS ZIP Type Const. Occupancy Sprinklered
LAA/Ir ❑Yes ❑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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. ( MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
ESCRIBE WORK Enum. Dist. I Location (Area) '
$• � �> � y � f FEES COLLECTED
AV AT ON SOURCE yGAS ELECTRIC WA R SEWER Ownership USE CODE
OF
9.
UTILITIES Public El 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 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
DATE OF APPLICATION f —1 7`k.,: SIGNATURE OF APPLICANT``.4. 1.-( /a-- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA i
Planning
Fire Marshall Mobile Home
Co. Engineer Other(Specify)
Utilities
TOTAL $ 7
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bulding„ifTefhniciary PERMIT IS NONTRANSFERABLE .; .� z
�0 1 � 8{1' 218, 5. 7. 00
� 1 67(6e.-1- ,
�-- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL