HomeMy WebLinkAbout1979, 12-28 Permit: 79-9632 Wood Stove PLAN NUMBER APPLICATI N/PERMIT PERMIT NUMBER
741-ci/ -5'7
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /z.—.2.8: 7`1
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS 0 4 * * 7.0 0
f 4/7 x LEGAL DESCRIPTION — SEE ATTACHED * 7 0 0 1--
1.,'41
LOT LOCK SUBDIVISIO PARCEL NUMBER/S *7,0 0 U
2.
OWNER r� PHONE E * 0 0 0 U
'A.-, r r/ �7 t,dl . 2--O
3. ADDRESS� ZIP ��/ Required Set Backs in Feet 9 6 3 1 2
a / - '-1- -d --Le-- i � ,Q1 -,( 9 9.7 North IsouthEast (west 1 2—2 8—7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
4. 4"= �_ _ 2 6479.
ADDRESS ZIP Type Const. Occupancy Sprinklered
1,1,,ti/ Lives ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
pJ. ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. CIPLMB. N. MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK FEES COLLECTED
n
8.�0_ti I.,a t: ..f'r,LL. -Y-4 cj-,..4.0-tt�-ef -td.44L1 , "2-14111-4
VALUATION source GAS ELECTRIC WATER SEWER
of
9. Utilities
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 per• it does not presume
to give authority to violate or cancel the provisions of any other state or local law regul• Ing construction or the
Plumbing
performance of construction.
DATE/...C.'--d.);'-' 7'/ SIGNATURRE,-7*
1 Y1 Mech. /
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
C
SEPA C
I-
C
Planning — u
C
Fire Marshall Mobile Home
Co. Engineer Other(Specify)
Utilities w%�
TOTAL $ /
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. •
7.Z1.—..,..7.S; -i7' 12 -28 =719, 963.25 * 7.001
DATE OFFICIAL'
APPROVED FOR ISSUANCE _