1980, 04-07 Permit: 80-3149 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
�, � � /` LEGAL DESCRIPTION — SEE ATTACHED
1. LoT BLOCK SUBDI IS ON PARCEL NUMBER/S
•
2. 04 * * 7.QG
OA'NER ' PHONE
3. SA-144-1 „,ce.e. 9437
.6 * 7 o n' t
ADDRESS ZIP
Actual Set Backs in Feet * 1
e , / ,z , /. ,.r�i ail.,2., /424(T.�A gga3 7 North 'South East (West 0 0
CO TRACTOR PHONE Size of Parcel Zone Classification C * 0 0 f..‘
4. is d., E
AD RESS ZIP Type Const. Occupancy Sprinklered 3 � 4. 8 l
-4,-4441 J oyes 0N ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. Q 4—U 7—8 "
5. -f7 6,479.
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 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. INMECH. 0 M.H. 0 POOL
of EXEMPTION
D CRIBE WORK Enum.Dist. Location (Area)
$ L/� /{1( n ,�.j� ,/ �'t ' I FEES COLLECTED
VALUATION SOURCE C S ELECTRIC WAT R SEWER Ownership USE CODE
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.SEE REVERSEGSIDE FOR REQUIRED INSPECTIONS / Plumbing y
DATE OF APPLICATION 4/—7— pe) SIGNATURE OF APPLICANT X tiv Mech. '" �'�f
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n.
Planning iD
(_)
Mobile Home _a
Fire Marshall ii
Co. Engineer Other(Specify)
Utilities TOTAL $ 7'''
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B (ding Tec nicia PERMIT IS NONTRANSFERABLE U 4 J 7 `F U 1 4,9 *
,R4J -i) �0 Gd, PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL