1981, 11-05 Permit: M81B-1551 Wood StovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1 JOB ADDRESS S I—Vo;
:-2-I -,T4LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCI
2.
OWrjER�S
3 �rllyl
SUBDIVISION I PARCEL'NILIMBER/S
aNsow
PHONE
ADDRESSP I Actual Set Backs in Feet
i North South East
CO NT�ACTQR PHONE Size of Parcel Zone Class
4.
W
ADD ESS
ZIP
Type Const.
Sprinklered
7cupancy
[--]Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
1
5'1
ADDRESS
ZIP
Main Floor
Upper Floors I
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
I Finished Basement
Unfin. Basement
6.
TYPE
❑
❑
No. Baths
No. stories
No. Rooms
No. of Dwellings
O/
IJ NEW
1:1 ALT. ❑ DIN. RPL.
MVE.
7,
OF
❑ BLD.
_/
❑ PLMB. MECH. ❑ M.H.
❑ OTHER
❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESFgIBE
WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8. ��`�� Sr0 V
VALUATION SOURCE GAS ELECTRIC I WATER I SEWER Ownership USE CODE
9. UTILOITIES Public ElPrivate ❑
Single $
1 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 /J Plumbing
1-7
DATE OF APPLICATION `/— — f SIGNATURE OF APPLICANT C'1&11 '��� �'`�' J Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE
_nv. Health
Dlanning
=ire Marshall
::o. Engineer
Jtilities
glans Examiner
ti
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify) �7
TOTAL $ I /
rcrtrvn i ivvmocrt
04* *17.00
1 7.00
* 1 7,006
A *000
1 55-02
11`-05-81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1;71='0`5'''a8i1' 155,12 *�17.UO'a� -
DATE ISSUED PERMIT NO. TOTAL