1980, 11-18 Permit: M80B-3872 Wood StovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
_
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCKJSUBDIVI51ONk-�--t=PARCEL
NUMBER/S
2.
OWNER,
PHONE
-Wy2tA2�2
3.
ADD SS I�, ZIP Actual Set Backs in Feet
North South East West
CO TRACTOR PHONE Size of Parcel Zone Classification
4. 1, r
A
Dq,RESS ZIP Type Const. Occupancy Sprinklered
Xli! ' f, ❑Yes [:]No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors I Garage Area I Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No. Baths No. Stories No. Rooms No, of Dwellings
. NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 FEES COLLECTED
VALUATION I SOURCE AS ELECTRIC WATER SEWER OwnershipUSE CODE
OF 1
9. UTILITIES Public El Private ❑
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 REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
rIATC nC Wool Innrinnl � / +% � �� Cl/"n1AT11OC n Wool InnnlT � r B71'/ L � Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
BuI Ing(�^Techj(p/ician///'} PERMIT IS NONTRANSFERABLE
AF11 1 1;, -Rfi T a-1 Cc nnlC WCAO CDnRA rIATG nC ICCIIAKIPP
Plan Check
SEPA
PERMIT NUMBER
X�qz -�3g �
*7.00
*700
*70.0�
A *0.00
387.1
11-18-80
z 6479
Mobile Home
Other (Specify)
TOTA L $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11 ; 1 3 8 7.2 2'
MAIC ICCI Ian DCOnAIT 'In
L