1979, 11-02 Permit: 79-7239 Wood Stove PLAN NUMBER APPLICATION/PERMIT PER NUMBER l
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 7,7
r/
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
04 * * 7.00
JOB A,DDRES i-2 LEGAL - SEE ATTACHED * 7,0 0 N
LOT BLO K SUBDIVISION PARCEL NUMBER/S 7 2 3.8
2.
OWNS P ONEI, 11 -02-79
I
3'
ADDRESS Required Set Backs in Feet g 6 4 7 9,
/
' 2?� r. ; ,
� � // North I South East (West
CONTBF�lF3({{iVj,, PHONE Size of Parcel Zone Classification
4.
ADDRESS ZIP Type Const. Occupancy Sprinklered
Oyes ENo ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area 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 CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. CI PLMB. _ ECH: CI M.H. ❑ POOL
of EXEMPTION
DES1°CvIB(WORK
8. 9r TONIO
FEES COLLECTED
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 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. `f Plumbing
DATE /(/(V- �97 ` SIGNATURE_ �L� w `
I Mech. 7,aa
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA a
,—
Planning
..i_J
n
Mobile Home .)
Fire Marshall =
Co. Engineer Other(Specify)_
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
NI"N
SEPA Checklist THIS B COME,S.A PERMIT.
DATE / OFFICI•• '
APPRI OR ISSUANCE —