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1982, 12-07 Permit: 82B-1700 Wood StovePLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — DEPARTMENT OF BU I&DING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREETADDRESS PARCEL NO. 6—-ZSZ4 Z i! 2. LOT I BLOCK I SUBDIVISION LEGAL DESCRIPTION: PHONE MAILING ADDRESS ZIP ual Set Backs in Feet to: • (3` C1ot e. l CF. North South East West CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential ❑ 4 40i,^ EI I Commercial ❑ ADDRESS ZIP Type Const. Occupancy Sprinklered 456A ❑Yes ❑No ❑Req'd. U' ILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private ❑ 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 Building work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- thority 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 SIGNATURE OF J �. )i —�- APPLICATION /Z _ OWNER OR AGENT / DATE �Z�_ 7 Mech. C7.C�Ca SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env. Health SEPA Planning Modular/ MFG. Home Utilities Plans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building Tach.. —i 1:4 IN 180 DAYS . [PSZ-b- ERMIT NUMBER 1-700 Other (Specify) TOTAL $-z-©.Cd WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATEiS�Ed� 7— 8 2 PERMIT�If?). 0. 0 z � * 2 0' 0 0-' CL O C..) W J LL DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area 5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse 6. CHANGE OF USE FROM TO Cover Dock Uncv. Deck Fin. Basement Unfin. Baseme TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ElMVE. No. Baths No. Floors No. Fin. Rooms No. Dwellings 7• OF ❑OTHER WORK El BLD. ElPLMB. Q/ MECH. ❑ M.H. ❑ POOL Certifi.ofExempt. Required Yes❑ No❑ Number or Variance Received Yes❑ No❑ 8' DESCRIBE WORK Shorelines/Flood Hazard Plans Required ❑ V� t✓: (3 • ^3 S "TCI J i? Yes❑ Not Applic. ❑ Received ❑ VALUATION SOURCE I GAS I ELECTRIC WATER I SEWAGE Ownership 1 s OF PUBLIC ❑ SEPTIC C FEES COLLECTED U' ILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private ❑ 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 Building work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- thority 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 SIGNATURE OF J �. )i —�- APPLICATION /Z _ OWNER OR AGENT / DATE �Z�_ 7 Mech. C7.C�Ca SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env. Health SEPA Planning Modular/ MFG. Home Utilities Plans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building Tach.. —i 1:4 IN 180 DAYS . [PSZ-b- ERMIT NUMBER 1-700 Other (Specify) TOTAL $-z-©.Cd WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATEiS�Ed� 7— 8 2 PERMIT�If?). 0. 0 z � * 2 0' 0 0-' CL O C..) W J LL