1982, 10-21 Permit: 82A-9884 Wood Stove PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
AiSPOKANE COUNTY — BUILDING CODES DEPARTMENT Bpi - A
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
..- vidmpumr
JOB ADDRESS
12-�►� i�Y�` LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
ADDRESS ZIP Actual Set Backs in Feet
. 12-5 i� T4 l- X1,Q/3 ( 4 * * 2 0. 0 0
Z“... _North (South East
CONTRACTOR PHONE Size of Parcel Zone Classification(West * 2 C 0 0
oca clic * ; r, n r
4' ADDRESS ZIP Type Const. Occupancy Sprinklered r5 c
FtiYvt-a" ❑Yes ❑No ❑ Req'd. c ? ?; 3{--
DESIGNER
'TDESIGNER PHONE Valuation Building Area in Sq. Ft.
1 C--L0-82
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _ 6 4 7 9
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ D'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER
WORK 0 BLD. 1:1PLMB. MECH. CIM.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED
8. 'v D' wan ,,vc, �.�-c.c 0 e I
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public ❑Private ❑ 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
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.SEE REVERSEVEpSIDE FOR REQUIRED INSPECTIONS Plumbing
•
DATE OF APPLICATION c:20Q 06,4946(__E-
`+✓E ""`8- SIGNATURE OF APP LICANT4 .• k1_Ia_ el:.id eLni -Mech. ZZ7•
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n_.
Planning <::_.)
rJ
Fire Marshall Mobile Home
u.
Co. Engineer Other(Specify)
Utilities
TOTAL $ ZQ'
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui ing Technician PERMIT IS NONTRANSFERABLE 1 0 �2 $ —8 2' 9 8 8.4 z *2 0.0 0 d F —
± �a..t, PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL