1980, 09-24 Permit: 80B-778 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT ill
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�/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS �- ., LEGAL DESCRIPTION — SEE ATTACHED : ',',
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 7 0 0
2.
OWMER PHONE I-( * C, C 0 7
3. 7 .:1-i +c= (,C 2 'J t' j 7? 7 _=
ADDRESS ��}} . / ZIP t Actual Set Backs in Feet
//'9 r�20 .
4;;Lh, ima-, .V:i12�K�GIs 9 �4.' qNorth 'SouthEast (West 0 9—2 U. C8 Q
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ./X �- 6.a79.
ADRESS ZIP Type Const. Occupancy Sprinklered
„.41,,e24/14-e----- Oyes ❑No 0 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. D AD'N. ❑ RPL. 0 MVE.
7, OF 0 OTHER -
WORK ❑ BLD. ❑ PLMB. PRI MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
?F'SCRIBE W RK Enum. Dist. I Location (Area) '
8 �/rq .4a._ C .1 24� }0 1 FEES COLLECTED
VALUATION SOURCE ` S ELECTRIC WATE SEWER Ownership USE CODE
^e— O F
9. UTILITIES Public 0 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
DATE OF APPLICATION .Z l U SIGNATURE OF APPLICANT / e- 4" l'l Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n
Planning J
— iso
Fire Marshall Mobile Home --1
i .
Co. Engineer Other (Specify)
Utilities TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bu-din/g�Tec nice p PERMIT IS NONTRANSFERABLE I0 9 2 4:'-.8.0 7 7,8 �-j_' it 7. Q Q a
aC ',ii!a` 'J11 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL