1982, 09-09 Permit: 82A-8073 Wood Stove PLAN NUMBER APPLICATION/PERMIT �,�1' PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT /," SZ A —X73
el NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
' 1 CD LEGALDESCRIPTION — SEEATTACHED
LOT BLOCKI1J'Q
BDIVISION PARCEL NUMBER/5
4 * * 3 ;,00
2 OWNER PHONE * 3 O.0 0 Y
3. 'J ` P,QT Ku e.. V- t T kA q2_6,-3`F- ei * -, „
ADDRESS ZIP Actual Set Backs in Feet
E. , 14-1 t Q t4---r(-k 44 0137 North 'SouthEast (West 0j 2
CONTRACTOR PHONE Size of Parcel Zone Classification
1cw.e 0 —U9 8c
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
S vu.� Oyes ❑No 0 Req'd. / Q
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. ❑ D'N. 0 RPL. E MVE.
7, OF 0 OTHER
WORK 0 BLD. 0 PLMB. MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) r
8. re) v.�caoD3�cazivi.Nei 5rd s FEES COLLECTED
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
Aloft
DATE OF APPLICATION � a p
T GNATURE OF APPLICAN //4° r/ i ' ,' _ Mech. 4 ‘ Ce.OC
r
SPECIAL APPROVALS SPECIAL CONDITIONS: CA )
NAME DATE / FRE- ' —tc r 0 t N6 t r3 6.. 214
- CCC Plan Check
Env. Health c 21 --
lVa+ I N5E
SEPA n_
Planning ;3
Fire Marshall Mobile Home -.-I
L
Co. Engineer Other (Specify)
Utilities
TOTAL $'-30 .cna.
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buil 'rig echnician �'f�� PERMIT IS NONTRANSFERABLE 0 9 0. 9- -B ' 8 O 7{.3 z * 3 0.0.0 a
ct� liV L/ V PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL