1982, 11-03 Permit: 82B-569 Wood Stove PLAN NUMBER APPLICATION/PERMIT ✓y� PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT /i 'j 828 6c
ey NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRf�
1 ��3 7 /6-1q, LEGAL DESCRIPTION — SEE ATTACHED
LOT BLO SUBI/ISIONPARCEL NUMBER/S
OWNER / / / LGA/ P/;N�— ,✓
3. L i •Hi "f
ADDRESS J ZIP Actual Set Backs in Feet
///
0/7 z,a0 North 'South East 'West 1 f ` i L
CONTRACT U/``,' PHONE Size of Parcel Zone Classification f 7 9
r /0ii„)
AD ZIP Type Const. Occupancy Sprinklered
Oyes ❑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.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER
WORK
CI BLD. 0 PLMB. I ECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCR WOR _,. Enum.Dist. I Location (Area)
8. C!/`V R,, , I FEES COLLECTED
VAL TION SOURCE GAS / ELECTRIC ATER 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
live authority to violate or cancel the provisions of any other state or local law regulating construction or the
, rormance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION �ia!!/_`'' .9 / / SIGNATURE OF APPLICANT 4 i Mech. '
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
n_
Planning O
Mobile Home "'
Fire Marshall J
te_,
Co. Engineer Other (Specify)
Utilities .2e- 614
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMEShA PERMIT.
•
Building Technician PERMIT IS NONTRANSFERABLE 1`�1�—'0 3 =8 2 5 6.9 °z *2 0. 0 0'°a F
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL