1980, 10-27 Permit: 80B-2705 Wood Stove PLAN NUMBER APPLICATION/PERMIT ty PERMIT NUMBER
.01 tSPOKANE COUNTY — BUILDING CODES DEPARTMENT w '„7d'"
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDU.SS
Q ' Q4,* *7, 00
1 2
�OfZ___ 4:24/4:24/ .S 'k .214 LEGAL DESCRIPTION — SEE ATTACHED * 7, 0 0 n
LOT BLOCK SUBDIVISION / PARCEL NUMBER/S * 7,Q Q cY
2.
OWNER A
/� / PA0NE A * 0 0 0
kert4 0 `/,,2. -/02f-
ADDRE S ZIP Actual Set Backs in Feet 2 7 0 L(
North 'South East IWest 1 0—2 7—8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
4. z 6L) 79,
ADDRESS ZIP Type Const. Occupancy Sprinklered
Dyes DNo D 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
D NEW ❑ ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER Req'd. Recd. Not Req'd.
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK , Enum. Dist. I Location (Area) I
$ Wood S _ FEES COLLECTED
VALUATION '�C�
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating constru ion or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
.7 y 7 1101 /
x DATE OF APPLICATION /e ~lay 1'GNATURE OF APPLICA --(.J /i'�l�� _.rl Mech. 7
/ \ SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA rt
c7
Planning ,_
— w
Fire Marshall Mobile Home 1
C
Co. Engineer Other(Specify)
Utilities (�
TOTAL $ /
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
iirt Tech n i PERMIT IS NONTRANSFERABLE - 2 q, (�'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO.a ` * 7.Y'On'AL-