1981, 01-08 Permit: 81A-0232 Wood Stove (../
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
l
I . / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
� APPLICANT: COMPLETE NUMBERED SPACES - PFESS HARD TO MAKE 3 COPIES
.......m, Oa * * 17. 00
JOB ADDRESS
1. t,---• Imo_ � 'r,^sJ I I � LEGAL DESCRIPTION - SEE ATTACHED
i * i
: ,,
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 1 n '<
* 17.0 0:
2.
NE A * C' (-. P
3.
OWNER
IC F 'vAI72,7--e2i I
ADDRESS p� Actual Set Backs in Feet 2 J. 1 :r
. . ivCoO 11 ''').-'`L')6 North !SouthEast 'West n
CONTRACTOR� PHONE Size of Parcel Zone Classification 0 1 -0 C-8 1
IT 6.4 7 9.
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
❑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.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE leEW 0 ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF / 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. CI PLMB. MECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRI E WORKEnum.Dist. I Location (Area) FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public El Private 0
9. UTILITIES 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 regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION ` IS <S0 1 SIGNATURE OF APPLICANT .- \ - tR�Zr ^^� — Mech. r7
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health -
SEPA "
,'DPlanning -
Mobile Home '
Fire Marshall
Co. Engineer Other (Specify)
Utilities 17,
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
1
uilding Tech - ian C PERMIT IS NONTRANSFERABLE 1 }..., 2,3.2 a�" *17:0 7:0 0 Q 0
(� .L� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE: ISSUED' PERMIT NO. TOTAL 1