1980, 11-04 Permit: 80B-3231 Wood Stove, Chimney PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
///WBD SPOKANE COUNTY - BUILDING CODES DEPARTMENT frf $o 13-:3;0/
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
„ * * 1000
JOB ADDRESS
-� LEGAL DESCRIPTION - SEE ATTACHED
1. 6' (6Sia . /// a * 10.0, 0 L75LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2 * 1 0, 003
O NER PHONE A *. n 0 L 0
3. . / ,&, /.%Q l I -rit/,O
I' -/',2..k- 'rte%'
ADD SS ZIP Actual Set Backs in Feet 3 2 2. 9 _r_
l_l g J/ i/zL L2 Le. le, �, e , q f zef 4 1 ' n
� North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification 1 1 -0 4— „
4. 10 4.4.4FJ 6L 7q
AD RESS ZIP Type Const. Occupancy Sprinklered
Vat• Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
04 * * 7. 00
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
* . 0 0 V;
k
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement * 7 y:
,. 00�
6.
2
No. Baths No. Stories No. Rooms No. of Dwellings A * Q i_'' C
TYPE ❑ NEW D ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER 3
WORK ❑ BLD. 0 PLMB. ,MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. 2 3 0
of EXEMPTION 1 1 -C4-80
ESCRIBE W RK ,i Enum. Dist. I Location (Area) f FEES COLLECTED
4J
VALUATION SOURCE GAS ELECTRICs��7{ WATER SEWER Ownership USE CODE
9. d UTILITIES vy/� L��.� (�3/�{,l�rf/v[1j Public ❑Private 0
C i Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions includedJ
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building /0
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 INSPECTION• f/ Plumbing
I
DATE OF APPLICATION I, -4' d SIGNATURE OF APPLICANT +�- C '. -Mech. 7'
SPECIAL APPROVALS SPECIAL CONDITIONS: ( (7--
NAME DATE Plan Check
Env. Health
SEPA i
Planning
Mobile Home
Fire Marshall i
Co. Engineer Other(Specify) �g
Utilities
TOTAL / ,7V
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Budin TecniciPERMIT IS NONTRANSFERABLE j. aj, 3.2 l Z !17.0 Q
F, 4is , 1)d= ti PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED' PERMIT NO. TOTAL