1981, 09-24 Permit: 81A-9745 Wood Stove, Chimney PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
C� ,/e/-;SPOKANE COUNTY - BUILDING CODES DEPARTMENT
elNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 /V�
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
* * 1 0. 00
JOB i5DDRESS LEGAL DESCRIPTION — SEE ATTACHED I ,
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2.,, . 4. _ I0.l * 1 0 0 t_
�� :
2. � 000 .it4 p � LArr I-, 4"w, 2-cI LOT- 1g
OWNER PHONEt * `
3. PAN hi< 55 > ; ti
ADDRESS Actual Set Backs in Feet
71 2-
i I I l 11" �/Art, ` North (South East (West i? G- L 1.- i_; 1
CONRA710,_�2 PHONE Size of Parcel Zone Classification n
4' ADDRESS ZIP Typ Const. Occupancy Sprinklered * 1 7 !}
V\ ❑Yes ❑No 0 Req'd. 14
DESIGNER PHONE ValuationBuilding Area in Sq. Ft.�fi
;, 1
Uti
5. ADDRESS ZIP Main Floor/ Upper Floors Garage Area Storage * 1 7. 0 0 ' -
* G r
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. ; 7 4. (
�,/y No.Baths No. Stories No. Rooms No. of Dwellings
TYPE EW 0 ALT. lid A 'N. 0 RPL. 0 MVE. (- c- l 4 8 1
7. OF 0 OTHER CERTIFICATE Req'd. Recd. Not eq'd. 4L
WORK BLD. ❑ PLMB. MECH. 0 M.H. ❑ POOL fJ 7 9
of EXEMPTION
DES CRIBS04 ORK + 1 Enum.Dist. Location (Area) T
I
FEES COLLECTED
8. Nili.2---r NIL)L)(1`1) if' RI,d D 1'f STS(0
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership /USE CODE
F
9. UTILITIES Public ❑Private LY 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 Ire
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 ,y Plumbing
!
DATE OF APPLICATION ' - 1'8/SIGNATURE OF APPLICANT .J"AA— iL�`�/
✓ji f- Mech. P - .
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
5
Planning -
J
Mobile Home '
Fire Marshall i.-
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bu gTe ic(a�n _ PERMIT IS NONTRANSFERABLE '09kr2'4'��-'8'1 9`
—_ 7 45 z *•2.7.0.0 a -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL