1981, 10-07 Permit: 81B-396 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT livi b l Z -% -
Ci
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 r
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 6- Iti LEGAL DESCRIPTION — SEE ATTACHED 0 4 * * 1 7.0 0
1 LOT BLOCK SUBDIVISION ION PARCEL NUMBER/S * 1 7.0 0
2. * 1 7.008
OWNER P ONE
3 ADD$ESSActual Set Backs in Feet
6 . [024.)c2 1z-- Z P`� 0 0 North 'south East west 3 9.5 a
CONTRRAUR PHONE Size of Parcel Zone Classification 1 0-0 7—8 1
4. ADDRESS ZIP Type Const. Occupancy Sprinklered z 6 4 7 9,
❑Yes ❑No 0 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
NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. In MECH. ❑ M.H. ❑ POOL
of EXEMPTION _
DESCRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED
8. W c)e,t7 C-, C,N1 67 1
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
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 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 Plumbing
DATE OF APPLICATION /0 7 tl / SIGNATURE OF APPLICANTS � AL-3"-----
Mech. I?
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
a.
Planning OC.)
Mobile Home 11-1
Fire Marshall Cr-
Co.
iCo. Engineer Other (Specify)
Utilities
TOTAL $ I�
Plans Examiner
• WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
•
� • • g echnici n PERMIT IS NONTRANSFERABLE '1''01 ~0 71-8n1I 3 9. 6 5 *1 7.'0 0 d
� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL