1979, 11-29 Permit: 79-8528 Wood StovePLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 150919563675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
t 10 2S 8'lµ LEGAL L SSCRIPTION — SEE ATTACHED
3.
4.
DESIGNER
5.
PHONE
ZIP
❑ Reg'a.
TVPE NEW ❑ ALT. ❑ qO'N. ❑ RPL. ❑ MVE.
o. a s
Na.'10-1 NO, Hoom
RIC. Room
], OF —/ EI OTHER
CER
R¢q'tl.
Rei tl.
NOf Req'tl.
El BLD. 11FILMS.LN MECH: ElM.H. ❑POOL
WORK
of E%EMPTIOMPTION
BE
DRISE WO RK
R O��
FEES COLLECTED
VALUATION Sr GAS ELECTRIC WATER SEWER
or
9. UH II[lez
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 regul LU tion Or the
perform/ance of con traction. ��
Plumbing
DATE (�_ _Z�_— SIGNATOR
MecM1. i�
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT, REp'D. RECD.
Plan Ch¢Ck
Env. Health
SERA
PaNten Og
Mobile Home
Other Specifyl
Ore Marshall
Co. Engineer
UMltles
TOTAL $
Zone Clearance
T
WHEN MACHINE VALIDAI
THIS BECOMES A PERMIT.
SERA Checklist
�^
DATE / Y OFF A
PERMIT NUMBER
DATE —
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