1982, 09-21 Permit: 82A-8512 Wood Stove PLAN NUMBER APPLI1
7ti PERMIT NUMBER
SPOKANE COUNTY — ARTMENT
SZ Pt 'sI Z._,
el
NORTH 811 JEFFERSON / SPOIL (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS r. 0.E 3 COPIES
JOB ADDRESS
tz� 1Z�-�,, LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDI ISION PARCEL NUMBER/S
2.
OWNER PHONE
3. L.46.(7—(2-,‘4 1-kO1vJ4..a.62 Ct'2 r=211, ; [I. * * 2 b 0 0
ADDRESS e� ZIP
�,,r� Actual Set Backs in Feet
a . 14-g3z.Z Z
ZTh et.C�3.7 North 'SouthEast 'West * G 0 0 0
CONTRACTOR PHONE Size of Parcel Zone Classification
4. SAnie
C.
ADDRESS ZIP Type Const. Occupancy Sprinklered Z, 5 1 1 _c
Spr►1 ❑Yes 0 N 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. 0 c— 2 1 -8 2
Lt Q
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
NEW 0 ALT. ❑ D'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. lig MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist, 'Location (Area) ' -
8. . ,^tet & ru 6)`` S COAG I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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 EVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION I 3 SIGNATURE OF APPLICANTdk.,44, Mech. ZQ"005
SPECIAL APPROVAL SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA 2
Planning CD
Mobile Home 'U
Fire Marshall _1
Co. Engineer Other(Specify)
Utilities
TOTAL $ —2.0"CC)
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Techni 'an PERMIT IS NONTRANSFERABLE 09 -421'—'8"2 8 5 1 2 z *20.0 0 a F;
966 F PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL