1980, 08-08 Permit: 80-8317 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT � 831'
(0j NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
OB ADDRESS q C 4 * * 7. 0 0
1. �'c •3 Z[ / ' LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S _
2. * 7 00
OW�N R I IPHONE C
3.
ADrN0ESS ....'� Actual Set Backs in Feet 3 3 1.h E
I -II "Ifel �c.,a, North 'South East (West
CONTRACTOI ., PHONE Size of Parcel Zone Classification 0 P - 0 - 0
4. c 6L 7c
ADDRESS ZIP Type Const. Occupancy Sprinklered
❑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.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
NaLIS NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7, OF 0 OTHER
WORK ❑ BLD. 0 PLMB. 44ECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION _ -
DESCW
RIBE WOReve,K �� Enum. Dist. I Location (Area)
{�,�,IJ�Lj�W FEES COLLECTED
8.
I
VALUATION SOUR E GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public D Private ❑
9. UTILITIESSingle $
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 gran ing of a permit does not presume
to give authority to violate or cancel the provisions of any other state or loc: aw 'king constructisA sr the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPEC-AI 1.` IIi, Plumbing
DATE OF APPLICATION r�0SIGNATURE OF APPLICANT 4 A && . i Aler Mech. 7,Do
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
ii
Planning CD
c-.)
Mobile Home w
Fire Marshall
TT:
Co. Engineer Other (Specify)
Utilities TOTAL $ 7 DO
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ilding Te ician sr/ PERMIT IS NONTRANSFERABLE 0 8 •-0 8i•_•8 0 8 3-I, 7 z *7, 0 CI o
'�� U 3 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL