1980, 09-12 Permit: 80B-73 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 6143
71.3
C.----2 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
.4......"JOB ADDRESS t,; * * 1 1, 0 0
1. Cr 6 46, /g LEGAL DESCRIPTION — SEE ATTACHED 7
LOT BLO K SUBDIVISION PARCEL NUMBER/S * 1 0 0 n
2. * 1 7.00E
OWNER' , PHONE * 0 r n cc
3. %'Z' , "„ L-,. 00= -4?49
ADDR SS ZIP Actual Set Backs in Feet 7 2 -9
6409 /W (i2r9J_ g901-04, North (South East 'West
CONTRACTORPHONE Size of Parcel Zone Classification 0 9— 1 2—8 0
—1/ 4—tuL
- L�-r,4-e--e-i,c I—
7 -6 7-- -54P 6.4 7 9.
4. ADD ESS j /�� lr(���� f/_ ZIP Type Const. Occupancy Sprinklered
It 7,5-2'5 e"L-'[''1pi'f✓.T`'0�' ;8�M1tt4'�4iL ❑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.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF 0 OTHER -
WORK ❑ BLD. ❑ PLMB. LN1 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
ESCRIBE WORK , Enum. Dist, I Location (Area)
8 / _ 1 a 1,,, rJ.6-62 (1,L-1,P641-1-1-
1,P I FEES COLLECTED
VALUATION SOURCE L LGGAS LEpC�TRIC WATER SEWER Ownership USE CODE
0(' OF
ITIES Public ❑Private CI9" I9•22.;'5-,04.)9•22.;'5-,04.) — UTILSingle $
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 J o
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
O
DATE OF APPLICATION q�//'—�� SIGNATURE OF APPLICANT k�Z-� '�l I' v✓ 7 Mech. ,„.1,,a,'
���
SPECIAL APPROVALS SPECIAL CONDITIONS: '
NAME DATE Plan Check
Env. Health
SEPA
a.
Planning C)
_ U
Mobile Home LU
Fire Marshall
W
Co. Engineer r Other (Specify)
Utilities
TOTAL 1 , G
r --
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buil mg Tech clan 7 PERMIT IS NONTRANSFERABLE Q,9."t1 2'''a. "0 7 3 z ft 1 7. 0 0n. I-
. Ai 2 G PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL