1980, 10-27 Permit: M80B-2767 Wood Stove`�" "�"""""' I APPLIGATIVN/PERMIT
1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
41�
`-1 APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
CO TRACTOR
JOB ADDRESS
Size of Parcel
Zone Classification
4.2
' A DRESS
LEGAL DESCRIPTION — SEE ATTACHED
Type Const.
67 6.-2 4-),5-
Sprinklered
LOT
BLOCK
SUBDIVISION
PHONE
PARCEL NUMBER/S
2.
5.
I
ADDRESS
O NE
Main Floor
PHONE
Garage Area
Storage
3.
CHANGE OF USE FROM
TO
Area of Decks
.3.87
Unfin. Basement
6.
A DRESS
ZIP
Actual Set Backs in Feet
41�
North South East
West
CO TRACTOR
PHONE
Size of Parcel
Zone Classification
4.2
' A DRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑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.
I
Baths
No.
Stories
No. Rooms
No. of Dwellinc
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF 1:1 OTHER
1-1BLD. ❑ PLMB. X MECH. 1-1M.H. ElPOOL
CERTIFICATE
Req'd.
Recd.
Not Req'a
WORK
of EXEMPTION
WORK
Enum. Dist. Location (Area)
rE.SCRIBE
8J
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WA ER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public ❑Private ❑
Single $
1 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 thisBuilding
I
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
_ � CI!_AIAI IDADDI 1!`APIT
n ATC /,9nI= ADD WA-r1nN1 �— :;7—TC hC
Mech.
SPECIAL APPROVALS
NAME DATE
nv. Health
Planning
Fire Marshall
SPECIAL CONDITIONS:
Engineer
I it ies
ns Examiner
PA Checklist
d ing Tec nicia PERMIT IS NONTRANSFERABLE
t% PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTA L $
n� FEHMI NUMBEH
/-� 9d10—a-767
04* *7.00
*7.00
276.60
10-27-80
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10 2 8'10 2767
DATE ISSUED PERMIT NO.
7,.0.0°
TOTAL
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