1981, 01-26 Permit: 81A-0836 Wood Stove PLA. UMBER APPLICATION/PERMIT PERMIT NUMBER
- , SPOKANE COUNTY — BUILDING CODES DEPARTMENT �,` '
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 7'0
JOB ADDRESS
1. E I! 3 2`f !6 TIS AVE. LEGAL DESCRIPTION — SEE ATTACHED * 1 7 0 0 5
LOT BLOCK SUBDIVISION PARCEL NUMBER/S *, 1 7,0 0 6
2. tq
OWNER PHONE P. * O.
`i-NN ,SADIE.g. y2-C-5,-))73
3 rrL `NMWADDRESS ZIP Actual Set Backs in Feet 3 a
F - II 3Zfr /(:,7 TI-I A . 192.0C, North 'SouthEast (west 0 1 —2 6—8 1
CONTRACTOR PHONE Size of Parcel Zone Classification
sA ME. 2 6 4 7 9.
ADDRESS ZIP Type Const. Occupancy Sprinklered
Dyes ❑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.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
13--.NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER
WORK
0 BLD. 0 PLMB. MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. ILocation (Area) FEES COLLECTED
8. ‘Uoot7 s-Tbv . INS ALLA—no/4 l
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
. 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
give authority to violate or cancel the provisions of any other state or local law regulating construction or the
,.erformance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO / Plumbing
cI ✓ r� = �--
DATE OF APPLICATION 2 Wa / SIGNATURE OF APPLICA /' � %, Mech. 7
— mss
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
/4.5/26N FOR— w4. UAy ft,t0>`A►'L<4 Plan Check
Env. Health
Y
• SEPA n
Planning j
Fire Marshall Mobile Home -I
IS.S AE. e
Co. Engineer Other(Specify) /lj X('
Utilities0�
TOTAL $ 1 �7- A
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
( _ ildi � R�chnician. PERMIT IS NONTRANSFERABLE 1 2.,6' '8'1 8 3..6 z *1 7 n
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. 1�