1980, 11-06 Permit: 80B-3310 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
/y Y 05 - /d
0.1 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ,IEEGAL DESCRIPTION — SEE ATTACHED
1. fi 7-2 0.` //_ t' G,,�.2�,
LOT BLOCK SUBD I ION PARCEL NUMBER/S
2. � a t.)
OVyF,IER �J �� PHONE ,;a e"
3. Ay,0-�lc.L .eA 4 �Kl g, —/)L,9Z) 7,e) &
tADDRESS /r ZIP Actual Set Backs in Feet ;70 ate.
e+ 7 2—o 3 /C h1 c North 'SouthEast 'West
CONTRACTOR PHONE Size of Parcel Zone Classification 3:30
4. red ADpRESS ZIP Type Const. Occupancy Sprinklered
-4-44, ❑Yes ❑No ❑ 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 ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7, OF 0 OTHER
WORK 0 BLD. 0 PLMB. ,g1MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
,) ,DESCRIBE WORK Enum. Dist. Location (Area) 1
o /,4 / ia 44 A FEES COLLECTED
VAJ..UATION SOURCE i GAS ELECTRIC W TER SEWER
Ownership USE CODE
OF
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 4law)egulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing
doir
�y
DATE OF APPLICATION /✓-' ) SIGNATURE OF APPLICANT ✓r Y 1 . /
*" Mech. 7'
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n.
Planning O
C.)
Mobile Home "J
Fire Marshall _.1
ii
Co. Engineer Other (Specify)
Utilities 4
TOTAL $ ,x
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ding Tec nicia PERMIT IS NONTRANSFERABLE 1:1i¢,06 kI'8 it 3.3 10.1. *7 0 0 2 H
/, �'�2 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL