1980, 09-26 Permit: 80B-999 Wood Stove PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
/-'l Sol—qq.ct
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
mir-
JOB ADDRESS 04 * * 7.00
LEGAL DESCRIPTION — SEE ATTACHED
1. E./2 5 0! /'/' ' * 7.Q Q v:
LOT BLOCK SUBDIVISION PARCEL NUMB€R/S 5
2. *7. QQ(,,
OWNER PHONE A * 0 0 0 0
3. '9,2VV 0ve-4• cir g -6qz5-- ,
ADDRESS ZIP Actual Set Backs in Feet 9 9,8:'
C., / Vo, /4 ra 992/a North (South East (West Q _2 6_8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
4. S�r�E 6479.
ADDRESS ZIP Type Const. Occupancy Sprinklered
•SOSIOZIC ❑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.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF „( ❑ OTHER
WORK ❑ BLD. El PLMB. L'J MECH. 0 M.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION _
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
8. 1.4.)C00.fk1.P,,ort4 -T7b '6'
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 coo truction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION. / Plumbing
DATE OF APPLICATION 9 �[ h .-- {? SIGNATURE OF APPLICANT e. �+ At/ Mech. ?'dam
4
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA o.
Planning ,.
w
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $ 7 c
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building echnician PERMIT IS NONTRANSFERABLE .0 9"�—'26 ` 8-0 9 9,9 ',.1 * 7.0 U 2 FI -
Q,/ � S 7726AS PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL