1981, 05-08 Permit: 81A-4499 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
An
SPOKANE COUNTY — BUILDING CODES DEPARTMENT /yYt � ti�
(� NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
IIII APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
7.00
C
4O�B ADDRESS 4,217LEGAL- 04 * * 1 ESCRIPTION - SEE ATTACHED .
1. ._'/' ' /l. "/` / * 1 7 0 0
LO`r BLOCK SUBDIVISION PARCEL NUMBER/S
2.
* 17.006
_i'
Oyy�ER f" C A * (.0 'H
3. / ' /fPHONE
ie ft , t ietriese'/f/ 72& i
ADDRESS ZIP Actual Set Backs in Feet8 '?
—/-71
/c2/c, 1//v — 9y � North South
I 1 449,
West
CONTRACTOR HONE Size of Parcel East Zone Classification 0 5-0 8-8 1
X41.'7 `- _ 6 /i- 7 Q ,
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.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE Er7NEW ❑ ALT. ❑ N. 0 RPL. 0 MVE.
7, OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
WORK 0 BLD. 0 PLMB. ITCH. ❑ M.H. ❑ POOL
DESCRIBE WORK / Enum. Dist. I Location (Area) r FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public 0 Private 0
9. UTILITIES 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
�. . ' `'""._.- Mech.
17, e99
DATE OF APPLICATION f.� —.�-� .='// SIGNATURE OF APPLICANT 2l� �� �''^�"�''�
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
a_
Planning OU
Mobile Home ""
J
Fire Marshall LT
Co. Engineer Other (Specify)
Jt
Utilities 17-
TOTAL $.
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMESA,.QERMIT.
15'
Building T nician PERMIT IS NONTRANSFERABLE 8 4 4 9 9 °z *1 7,0 0 R,H -
,7,� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL