1979, 12-28 Permit: 79-9640 Wood Stove PLAN NUMBER APPLICATION/PERMIT ^/ PERMIT NUMBER I
•
SPOKANE COUNTY — BUILDING CODES DEPARTMENT /V 3�� �
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE / *-Z`"L '71
APPLICANT: COMPLETE NUMBERED SPACES — PRESS El/59D TO MAKE 4 COPIES
AR
JOB ADDRESS c 0 Ll. it it 7, 0 0
LEGAL DESCRIPTION — SEE ATTACHED
i.r /CIJ.4C7�-
�' I_�f v
LO BLOCK U DI N PARCEL NUMBER/S
2. 963. 9
OWNER PHONE
3. -7/1...1.41_i dQ-(1—#1�► q ~-q/.?? 1 2-28-79
ADdRESS ZIP Required Set Backs in Feet 2 6 4 7 9
eI!e 1 -4 16 "th A./ g9-2.0North South East 'West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. 41"/"1- --
ADDRESS ZIP Type Const. Occupancy Sprinklered
2✓1 4-4.4 ../ ❑Yes ❑No ❑ Req'd.
DESIGNER/`+ PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage -
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No.Baths No. Floors No. Rooms Rec. Room
TYPE Cl NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF El OTHER
WORK CIBLD. CIPLMB. N MECH: IDM.H. CIPOOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
' DE CRIBE WORK
8. } 4,
41 itAti.,,:1-7,i)
B/d l--SIL � m t, J
_ FEES COLLECTED
VALUATION S rce �7�5 ELECT IC WATER SEWER
,�-- - of
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
Plumbing
performance of construction. { ('�
DATE J. -%Z - 7 j' SIGNATURE ' -(-",/:V.:,-(-",/:V.:, -+G1/�A,.-r.� 44$2 ., Mech. A —
7
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health 0
SEPA
I-
C
Planning _ L.
0
G
Fire Marshall Mobile Home _
Co. Engineer
Other(Specify)
Utilities
TOTAL $ 7
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist / THIS BECOMES A PERMIT. 7
� � 12- 7/ //,,,ma�,.✓yy ��IIv, D �T � (f 9 4 6 * /, 002
DATE OFF IC I A L,Q62-(,' /L �rF� -•''- 1 2- 2 " 7 9 0.
APPROVED FOR ISSUANCE