1980, 04-21 Permit: 80-3731 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
51
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 8u 3�
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
04 * * 7.00
JOB ADDRESS
Co .I 8 12.-x--1 LEGAL DESCRIPTION - SEE ATTACHED * 7'0 0
LOT BLOCK SUBDIVISION 1 PARCEL NUMBER/S
2. 37 3 0-
OWNER PHONE 04-21 -80
3. Li tiVO A M. ‘V( t-Li\t2 o S S--b4=33
a b 4 7 9,
1A_DDRESS ZIP
¢ ,../ Actual Set Backs in Feet
E. • G t e re H hZ:4 North 'South East
CONTRACTOR PHONE Size of Parcel Zone Classification(West
Somme
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
StAl/ic ❑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
Lpi NEW ❑ ALT. D AD'N. 0 RPL. 0 MVE.
7, OF 0 BLD. 0 PLMB. MECH. 0 M.H. 0 POOL 0 OTHER
WORK CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) '
8• a R, cc EARKoc:.� Voo1&a Yo c, *S—CG'vC I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTI LOITIES Public 0 Private ❑
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 k Plumbing
DATE OF APPLICATION it—a/145)✓ SIGNATURE OF APPLICAN/i Aerie AO/V ' / ./ :i,4//i Mech. —1,QCs
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n_
Planning 0U
— a
Fire Marshall Mobile Home -�
L
Co. Engineer Other(Specify)
Utilities
TOTAL $`T,OC)
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ildi Techn: 'an _ PERMIT IS NONTRANSFERABLE ' co o R.'
—
g (1 7J- 7//�� ISSUED 80 7 3.1z * 7. OT L
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL