1981, 10-12 Permit: 81B-594 Wood Stove PL UMBER APPLICATION/PERMIT PERMIT NUMBER
tt— SPOKANE COUNTY - IllUILDiNG CODES DEPARTMENT
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NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
.. 7.4).7,'
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
I 3 -1'f4 LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK S IVISIAN PARCEL NUMBER/S
2. l, * * 170, 0
OWNER PHONE 1
3. 9 L0 J 561-1 Htti 0 OK 35 j--2)26b I ; ,
ADD�Fd�,ESSS, �7 M ZIP Actual Set Backs in Feet 3 '
IJP ( 6(-7I'� V i ? North 'SouthEast (West '
CONTRACTOr�y.� HONE Size of Parcel Zone Classification I (,'- 1 C- 1
ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No 0 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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF , ❑ OTHER
WORK
0 BLD. 0 PLMB. 'CJJ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist.
8 {Y 00r) Si t./r7 I Location (Area)
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑Private ❑
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 �j ,l� Plumbing t
DATE OF APPLICATION h SIGNATURE OF APPLICAN� /L./ai' LGZ�`cs� �-r Mech. I-7
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA a_
0
Planning C_3
- w
Fire MarshallMobile Home
EL'
Co. Engineer Other(Specify)
Utilities 17
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
g Te n pian PERMIT IS NONTRANSFERABLE �ili�'i° ;-.18.1' 5 9,4 z *1 7.0 0 a F. -
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PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL