1979, 10-29 Permit: 79-6950 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT Ail 7`' —6*-1-1'
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE i!) "-Z9— Irl
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS ' 0 4* *7.O 0
1.e, ,i,cl,/`„'< z,4 ,�,,��� LEGAL DESCRIPTION - SEE ATTACHED
*7.00 N
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 6 9 it 9i
2.
OWNER
3. .%.--it . PHONE /91 '�-0-29 "79
ADDRESS ( ZIP Required Set Backs in Feet i 6 4 7 9,
eh �n�r�l �7 i[. r'�(.t-'i^-[-�- t2 -1"7.� North (South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ..), ,,,4,-7,2.i.
ADpRESS '/, ZIP Type Const. Occupancy Sprinklered
R.4,,,,0/e)( atieV . ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5.
ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage --
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPE No. Baths No. Floors No. Rooms Rec. Room
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER - r
WORK ❑ BLD. ❑ PLMB. ❑ MECH: 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
D SCRIBE WO
dfj FEES COLLECTED
VALUATION-
Irce GAS ELECTRIC WATER SEWER
of
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 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, cal law regulating construction or the
performance of construction. Plumbing
KAL E , —.:2 9— 7 SIGNATURE (l /C Mech. e)0
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
cc
SEPA o
Planning
w
0
Fire Marshall Mobile Home
Z
Co. Engineer Other (Specify)
Utilities , 7
TOTAL $ v
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist T THIS BECOMES9A-'7,9
A PERMIT. 6 9'5,0
p H
DATE«'«!,9-7f OFFICIAL /� LLiIiL ./ I�75'9 9 5,O Z ,*7. O O d.h
APPROVED FOR ISSUANCE /