1983, 09-20 Permit: 83A-9280 Wood Stove PLAN NUMBER APPL ICAT ION/PERM IT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY .27A - 72
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
C,--' APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET AESSI0 14-114PARCEL NO.1.
1.
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER PHONE PHONE
3. "�i ':`' F,- �pv�K7 -q-1M-
MAILI G A DR SS}�� ZIP Actual Set Backs in Feet to:
5 - I v t — 9 14 2_0 North I South East I West
CONTRA TORr�t LICENSE EXPIRES HONE Size of Parcel Zone Classification Residential❑
4. G: Commercial❑
ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes 0N ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5.
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
7
TYPE NEW ElALT. ❑ AD'N. ❑ RPL. ❑ MVE. ❑ OTHER
WORK ❑ BLD. ❑ PLMB.EMECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes No❑ Number
or Variance Received Yes No❑ _,
DESCRIw RK �.� Shorelines/Flood Hazard Plans Required❑
8. " Clete Yes El Not Applic.❑ Received ❑
VALUATION SOOURCE GAS ELECTRIC PUBLICO SEPTIC GE Ownership FEES COLLECTED
9. UTILITIES PRIVATE 0 SEWER 0 Public 0 Private❑
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 Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority 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
SIGNATURE OF ,�lf-dt '—( �'K-"L APPLICATION /
OWNER OR AGENT "��G DATE Y7;- -4 Mech. 7—F-
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) (((
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning
Modular/
Fire MFG.Home
Prevent. a
O
Engineer Other(Specify) V
W
J
Utilities 2 D , fi
TOTAL $
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS n _ 0 p Q r
Tech. bA).9/1'''
DATE}SSUED2 — 8 5 PERMIT NQ} 8. . 0 z * 2 0, 0 0�tAL