1981, 02-19 Permit: 81A-1669 Wood Stove PLAN NUMBER APPLICATION/PERMITM PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT / / 71 —J' ��'
o.,./ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 1, 4 * * 1700
/lj ks - � �P LEGAL DESCRIPTION — SEE ATTACHED
LOT LOCK SUBDIVISION PARCEL NUMBER/S 1 ., ' r
2. 1 66.8
oriNE5 PHONE
3. s4/4. c 1_.e= 924.-/66.Z 02- 1 9-81
ADDRESS , v' ZIP Actual Set Backs in Feet
C 0L/4?/%) Azi-- 0 ,. Le_ i24 .(.�Qly, g9/137 North 'South East 'West 6 4 7 9
�r
CONTRACTOR PHONE Size of Parcel Zone Classification
4. .. 1�LZP_
ADDRESS ZIP Type Const. Occupancy Sprinklered
J4.a/Y,ttl. ❑Yes ❑No D 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. 0 AD'N. 0 RPL. ❑ MVE.
7, OF 0 OTHER
WORK 0 BLD. 0 PLMB. IRZ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE W0411.1� �_ /���"���� Enum. Dist. I Location (Area) FEES COLLECTED
8. .7irf-P 'So-�R AS��04ie C WATER SEWERI
VALUATION
OF Ownership USE CODE
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
Da
DATE OF APPLICATION .2—/C1—K` SIGNATURE OF APPLICANT 'S -%'„.:, Mech. / ''
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >--
ca_.
Planning CD
J
Fire Marshall Mobile Home w
it
Co. Engineer Other (Specify)
Utilities
DU_
TOTAL // 7'-
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
'Building Tec niciatPERMIT IS NONTRANSFERABLE Q 2 - -$ ] 16 6.9 Z *17U °
—
t ^ 1 oa l:i� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL