1981, 01-27 Permit: 81A-876 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
11 SPOKANE COUNTY — BUILDING CODES DEPARTMENT "1U B — 67Co,
1 v NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
1111 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS GLi. * * 1 7.0 0
1. E• 1022k ?drIA LEGAL DESCRIPTION - SEE ATTACHED * 1 7. 0 0 rii
LOT BLOCK SUBDIVISION PAR .LIL NUMBER/S
2. 87.52
OWNER PHONE
3. L. 3 . A(Yl c TZAE a2�- 88 U 1 —2 7 8 1
ADDRESS ZIP Actual Set Backs in Feet 6 U.7 9,
E.- 1NMI *Z(DTu —R 2L)1r, North (South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. AJVIE
ADDRESS ZIP Type Const. Occupancy Sprinklered
Eves 0 N ❑ 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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7, OF ❑ OTHER
WORK
I=1 BLD. 0 PLMB. 4 MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORKEnum, Dist. I Location (Area)
FEES COLLECTED
8. L('/36D1ILtai(\..) YI.7G Sa i o U t I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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
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
��`�/ SIGNATURE OF APPLI AN / � j�/ Mech. 1�`�O
DATE OF APPLICATION ` / C
SPECIAL APPROVALS III SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA 'r.:-
Planning
Mobile Home a
Fire Marshall C.�
Co. Engineer Other (Specify)
Utilities TOTAL $ 17°06
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building echhnnician PERMIT IS NONTRANSFERABLE 0'1-T 2'7 L7.8'1' 8 7.6 z * 1 7.0 0 T. ,
7 a PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL