1982, 11-09 Permit: 82B-770 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 0.Z., 77C�
b
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0U * * 20,00
1. E. 14310 23rd Avenue LEGAL DESCRIPTION — SEE ATTACHED * 2 C,0 0 y
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
A * C00
2.
OWNER PHONE 7 6. 9
3. Ray J. Corey 928-7556
ADDRESSZ P Actual Set Backs in Feet 1 1 - 0 9—8 2
Same Veradale, WA 99037 North (SouthEast (west
6.. 479.
CONTRACTOR PHONE Size of Parcel Zone Classification
a Same
ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ 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
NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER
WORK 0 BLD. 0 PLMB. Q MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) '
8. Woorl Stove I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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 REVERSEESIDE FOR REQUIRED INSPECTIONS e� Plumbing
DATE OF APPLICATION /( �t*V. ` /7rQ• SIGNATURE OF APPLICANT,L4C"---;452,7.
/ Mech. 20,00
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
r
SEPA n-
Planning U
Mobile Home --.1
Fire Marshall i.,_
Co. Engineer Other(Specify)
Utilities 20.00
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ui ngTechsrt PERMIT IS NONTRANSFERABLE 1'q.1—,0'9 -8 2 7 70 z * 2 0. 0 02.
' L .,',..� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL