1980, 08-15 Permit: 80-8635 Wood Stove PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
SD- F635—
N 1 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
Jam// APPLICANT: COMPLETE NUMBERED SPACES - PRL;SS HARD TO MAKE 3 COPIES
JOB ADDRESS 4 * * 7. O 0
1 E /13 30V g,y LEGAL DESCRIPTION - SEE ATTACHED * 7 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * ,7 G 0
2.
OWNER PHONE
3. C75UR6`6 G. ,3/Rio gz628/t.c E * G.0 0
ADDRESS �Z]IPP Actual Set Backs in Feet 8 6 3 4
e. 1,..-3'4f5 (-7 9rH 77e/(�/ North 'South East (West 0 _ 1 5_ 0
CONTRACTOR PHONE Size of Parcel Zone Classification
6,479.
4' 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.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. ❑ AD'N. 0 RPL. 0 MVE.
7, OF / ❑ OTHER - Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. 0 PLMB. MECH. I: M.H. ❑ POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area)
`rte Ar' �/ 9 57-n/c I FEES COLLECTED
8
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public 0 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 , n Plumbing
DATE OF APPLICATIOI C� e0 SIGNATURE OF APPLICANT Q-A C.J V 1NJ Mech. 7 cn
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n
-
Planing ca)
—
Fire Marshall Mobile Home I
i
Co. Engineer Other(Specify)
Utilities
TOTAL $ 7 efi-j
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui . g T- hnician _ PERMIT IS NONTRANSFERABLE ,. o zz S Q0 -
i i ,...-`i PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE(ASU � -8 0 PERMIT NO.J. J G * 7�O�AL�