1982, 11-04 Permit: 82B-0627 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT77/1 P428 e&,27
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
ciii APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS1. C...i. .� // LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDI ISION PARCEL,NUMBER/S
2 OWNERP NE
3. \71p—/-1-1113-- —ie47,
ADDRESS /� // ��/ ZIP„,..,...„ Actual Set Backs in Feet
ZG' �3 — I/b5 %2/k North 'SouthEast West 6l) * G C Li
CONTRACTOR/ PHONE Size of Parcel Zone Classification
4' ADDREs5..>/ ZIP Type Const. Occupancy Sprinklered 1 1 — 0 4—0 2
❑Yes ❑No 0 Req'd.
-' E 4 7
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 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF /' ❑ OTHER
WORK
0 BLD. 0 PLMB. L'7 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
�/ _,�%� of EXEMPTION
DES E W��!(kat
(�9! a Z79 Enum. Dist. I Location (Area)
$ J� / FEES COLLECTED
I
ION SOURCE G S ELECTRIC WATER 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 law regulating construction or the
performance of construction.SEE
CREVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION I / //"2- SIGNATURE OF APPLICANT Mech. 69
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning C)
Mobile Home "'
Fire Marshall -'1
Li_.
Co. Engineer Other (Specify)
Utilities .),./
TOTAL $ A.*('
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
* d J
Building Technician PERMIT IS NONTRANSFERABLE �04 =82 6 2;7 z 2 0.0 0 —
1,1
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL