1982, 10-12 Permit: 82A-9387 Wood StovePLAN NUMBER
APPLICATION/PERMIT
Valuation
B"1111ng Area In Sq. Ft.
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-36]5
ADDRESS
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
Upper Floors I Garage Area
JOB ADDRESS
CHANGE OF USE FROM
LEGAL DESCRIPTION -SEE ATTACHED
t.
F• 10510 8TN AVd.
6.
I
LOT
BLOCK
B O
No. Stones
PARCEL NUMBER/5
2.
TYPE NEW 11 AIT. Ll AWN. El RPL, ❑ MVE.
I
OWNER
PHONE
3
MPNFRlD Zligfdl
CERTIFICATE
4z6-Z.7z0
Noi Rep'0.
ADDRESS
WORK
ZIP
Actual Set Backs in Feet
l ll Q '
DESCRIBE WORK
Enum. Bill.Loeation
(Area)
8. uftp sTe /NS'TA Lt,kTIpN
norm soot East west
VALUATION SOV RCE GAs ELECTRIC WATER SEWER Own¢rsM1iP VSE CODE
C
CONTRACTOR
9. UTLLITIE$ Public El Process 'I
PHONE
SiZe Of Parcel ZOne oko'"Ou"On
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" previsions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
4'
ADDRESS
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
ZIP
Type Conot.
I Occupancy
Sprinklered
❑Vas ❑NO ❑
DESIGNER
PHONE
Valuation
B"1111ng Area In Sq. Ft.
8,
ADDRESS
ZIP
Main Floor I
Upper Floors I Garage Area
I Storage
CHANGE OF USE FROM
TO
Area Of Decks Finished Basement
Vnfin. Basemen[
6.
I
I
No. Baths
No. Stones
No. ROoms
No. of Dwellingf
TYPE NEW 11 AIT. Ll AWN. El RPL, ❑ MVE.
I
7 OF OTHER
CERTIFICATE
..did.Re<'0.
Noi Rep'0.
El SEE, 11 FILMS. �MECH. ElM.N. 11 POOL
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Bill.Loeation
(Area)
8. uftp sTe /NS'TA Lt,kTIpN
FEESCOLLFCTED
VALUATION SOV RCE GAs ELECTRIC WATER SEWER Own¢rsM1iP VSE CODE
C
9. UTLLITIE$ Public El Process 'I
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" previsions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
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 or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
IO
DATE OF APPLICATION—,i_ SIGNATURE OF APPLICANT-
Mach. Nb
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Cheek
Ena. Heath
SEPA
m—loP
Mobile Home
Fire Machan
Otheer petit,) 0 b
co. FnTu—
urulue:
TOTAL $
Plans Examiner
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
SEPA chacknst
PERMIT IS NONTRANSFERABLE
10 '— 1 8 2
Building Tachmcon
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUEU
PERMIT NUMBER
Cyt/ Y2A- `1387
4 7
938.75 •2400aE -
PERMIT NO. TOTAL