1980, 11-07 Permit: 80B-3381 Wood Stove PLAN NUMBER r� APPLICATION/PERMIT PERMIT NUMBER
//77/1SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS Ci a x 't7 O G
� r 'J
LEGAL DESCRIPTION — SEE ATTACHED -; ,� n
O PARCEL NUMBER/S �"
3
T BL CK -SUB (VISION
2. 370
O NE PHONE 1 I -- ( r' —P, 0
3. .; ..4.4... !1i'/�1 , 1 _ (9,.-.LL-7-774-.5.:3-
DRESS / ? ZIP Actual Set Backs in Feet 64 7 9
,./t:4)-C.< }kjiaA..4146-- 99:^2-1, North SouthEast West
CO TRACTOR PHONE Size of Parcel Zone Classification
4.
AD RESS ZIP Type Const. Occupancy Sprinklered
AZ a4ie,. ❑Yes ❑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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
0 NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF 0 OTHER
WORK ❑ BLD. ❑ PLMB. g MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
pESCRIBE WORKpc, Enum. Dist. I Location (Area) T
8 ('I 11'' - aJ J �� '� FEES COLLECTED
I
VALUATION SOURCE i GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
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 INSPE „IONS Plumbing
�7 G�
DATE OF APPLICATION ij 6"`55/) SIGNATURE OF APPLICANT tk-A a+ M141611 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE `. Plan Check
Env. Health
SEPA ti
Planning44.�ren j�y- �/,, l p _ ` '.7
Fire Marshall v Mobile Home .a
Co. Engineer Other(Specify)
Utilities ,x,
TOTAL $/
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bu �mg/echr}cian p PERMIT IS NONTRANSFERABLE 11,-0 7. 8 O 3:3.8.1 z. ,zone
-
� 1�T! C � a�'G"+�2 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL