1982, 10-25 Permit: M82B-119 Wood StovePLAN NUMBER APPLICATION/ PERMIT PERMIT
NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT %l
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1 3 T415 Z� LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCKISUBDIVIbI4 PARCELNUMBEPIS
2.
OWNER PHONE
3. Ifi t:_:
ADDRESS ZIP Actual Set Backs in Feet
- - O C North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage AreT
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
Baths
No. Stories
No. Rooms
No..of Dwellings
TYPENo.
QNEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
❑ BLD. ❑ PLMB. CZPMECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
8 WQ0. s_ 1
FEES COLLECTED
VALUATION1
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIES
Public ❑Private ❑
Single $
1 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 1U 1SJZ/ Ol� Cfi�.�
SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
NAME DATE
nv. Health
Planning
Fire Marshall
Co. Engineer I
S Examiner
SPECIAL CONDITIONS:
Iding Technician PERMIT IS NONTRANSFERABLE
Dr:01MY FYPIRCC nI IP VFAR FRl1M nATF nl= ICCIIANr;:
Plan Check
SEPA
04 *20.00
*20.00
'50-
2
A *0.00 00
11,8
10-25-82
2 6,479,
Mobile Home
U O_
Other (Specify)
p� /%
TOTAL $ Zy
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10=125-82 11,926
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