1980, 10-27 Permit: 80B-2757 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
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NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
• 0.1 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
4 * * 7.U
JOB ADDRESS
tr....-.• `3 76), LEGAL DESCRIPTION - SEE ATTACHED1. -
LOT BLOCK SUBDIVISION PARCEL NUMBER/S / Y
2. * i U(\
OWNER b PHONE
3. �. ��( '►i/I expo✓. _9 Q.17 o3 r c,
ADDRE`S ZIPS/fig / Actual Set Backs in Feet 2 7 J.6 z
/37 4014f- � t y - ;(.' North !South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification 01 -2 7-
_c4/"' E g 6 L.% 9
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
Oyes ❑No El Req'd.
DESIGNER ^� A PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS J l ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE El NEW 0 ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7. OF ,__, ❑ OTHER
WORK BLD. I=1PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK 1-Alt
) ,+-` / Enum. Dist. I Location (Area)
8. f -4KS C -1 f f 1/UI�C6 (St®Ve-' i
FEES COLLECTED
VALUATION
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
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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 INSPECTIONS Plumbing
dri... ,iL i , , .44,
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4 del
DATE OF APPLICATION III'-'-2 —k1) SIGNATURE OF APPLICANT 'ilk _- , Mech. 7
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA f
Planning )
— 1 U
Fire Marshall Mobile Home .--J
Co. Engineer Other(Specify)
Utilities t 6>'e�.
TOTAL $ 7'
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMESyA PERMIT.
Bu ing echpiciancl PERMIT IS NONTRANSFERABLE Fl. 0 L 2. / - 81 2 7 5. 7 P *7.-0 Q ° i
/,,'la2`/(-7:41, PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL