1980, 10-10 Permit: 80B-1811 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
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SPOKANE COUNTY - BUILDING CODES DEPARTMENT ' 1803 - 1811
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
�- G + * *
7. G
0JOB ADDRESS 1k. � LEGAL DESCRIPTION - SEE ATTACHED X ^ P1. lLlOT lBLOCK SUBDIVISION ? / „ PARCEL NUMBER/S
1c1.Gr?
2. \`
Pk
DDRESS
A9
\\S 1\ a , � l � orthal Set Backs'Sout Feetin East 'West 5 64 7
� '�-^
CONTRACTOR PHONE Size of Parcel Zone Classification
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.
TYPE �y No. Baths No. Stories No. Rooms No. of Dwellings
75i.NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF IN OTHER
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DES
8. 1� W1/2V---- t.,4" Enum. Dist. I Location (Area)
�a./ \-k\_'\44k.. FEES COLLECTED
VALUATION SOURCEGAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILI MES 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
type of work will be complied with whether specified herein or not. The granting of a permit do- not presume Building
to give authority to violate or cancel the provisions of any other state or local law regul.ting c. st,- c n or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION / , Plumbing
DATE OF APPLICATION/974C-V51) SIGNATURE OF APPLICANT .r 7"C1cs
SPECIAL APPROVALS SPECIAL CONDITIONS: ,,'
NAME DATE Plan Check
Env. Health
SEPA )_
Planning O
V
Fire Marshall Mobile Home i.
ii
a.
Co. Engineer Other (Specify)
Utilities
TOTAL $ 7 ,c
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THISBECOMESA PERMIT.
Builth Techni ani r J � PERMIT IS NONTRANSFERABLE 1 '' `'8'�J 8 >t 7, Q Q u. H —
�' /( PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL