1980, 10-07 Permit: 80B-1507 Wood Stove PLAN NUMBER APPLICATION/PERMIT M PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
' / ��� ��`�
eiNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 ..
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
�: // /J, y�yTy/( (/���� LEGAL DESCRIPTION — SEE ATTACHED 0 Li- * * 7,0 0
' ,f.kk_,
LOT BLOCK S D ISION, PARCEL NUMBER/S * 7,0 0 i
2.
O NER „ 4 PHONE * 7,006
3. A>AZ4 , ),"/A.--( 1 9:ZS-2q4a A * 000
ADDRESS ZIP Actual Set Backs in Feet
e /4-m7 .2 . 1 tit. l-(, (%`'- [�t g'9‘),3 7 North (SouthEast (West 1 5 0,6 2
TRACTOR PHONE Size of Parcel Zone Classification
10-07-80
4' A DRESS ZIP Type Const. Occupancy Sprinklered 4 6 7 9
,NIi.r .„1L4.../J. ❑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
D NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER -
WORK 0 BLD. 0 PLMB. K MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
ESCRBE7 RK Enum. Dist. Location (Area) '
8 �`}� µ c,'�y�j/`, 0 � 4f���4 `� FEES COLLECTED
VALUATION SOURCE JGAS ELECTRIC WAT SEWER Ownership USE CODE
OF / Public 0 Private 0
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 c.- truc 'o or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTI'NS j ' Plumbing
DATE OF APPLICATION/6 6—S.%) SIGNATURE OF APPLICANT `ice __ �1 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA �
Planning C)
CJ
Fire Marshall Mobile Home "-1
1
ti
Co. Engineer Other (Specify) 7
Utilities �/ v
TOTAL / r~
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B Idingj3Tech ician 1 PERMIT IS NONTRANSFERABLE 1 Q --.Q 7.`—'g' Q' 1 .� Q 7.5 * 7 Q Q a F!
167/Ur " PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL