1982, 11-12 Permit: 82B-866 Wood Stove PLAN NUMBER APPLICATION/PERMIT .PERMIT NUMBER /
Al X2.4 — f b
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,X4ASFANGTON 99260 / (509) 456-3675
c a./
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED s, * * 2 i' =' 0
1 LOT BLOCK U DIVISION PARCEL NUMBER/S * 2 O 0. 0 y
2. A * ` t` 0
OWNER PHONE
3. �'11� 1? L-- 'rf2r;�(� 7 Fll 0G=� s¢? O.2 77 t'_ c 5 '_
AD p�ESS I r��! ??Lio 5/®P Actual Set Backs in Feet
6F - `✓ 17 �v S North (SouthEast (West 1 1 — 1 r'— 2
CONTF�ACT R PHONE Size of Parcel Zone Classification 7 0
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
DYes ❑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. _
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
IG NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ ME.
7, OF ^/ 0 OTHER
WORK ❑ BLD. 0 PLMB. E MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION _
DESCR 00iRK D I� Enum. Dist. Location (Area) r FEES COLLECTED
8.
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
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.SEEEREVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION //—/ °^ / I SIGNATURE OF APPLICAN vin 4 Mech. �
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
Planning 0U
Mobile HomeLU
Fire Marshall J
W
Co. Engineer Other (Specify)
Utilities .7
TOTAL $ !�
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
-- -r PERMIT IS NONTRANSFERABLE 1l.1. 2 8 2 8 6'6 z * 2 O'O O a F-
�� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL