1979, 10-15 Permit: 79-5980 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 TG MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION -SEE ATTACHED
VALUATION
LOT BLOCK
GAS
ELECTRIC
PARCEL NUMBER/S
SEWER
2.
ISUBDIVISION
I
Q,
Utilities
OWP�ER
J
�
PHONE
= - 2�
3.
ADpR SS
i
ZIP
Required Set Backs in Feet
North South
East West
CONTR CTOR
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes [-]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths No. Floors
No. Rooms Rec. Room
TYPE NEW
ElALT. ❑ AJ�'N. ❑ RPL.
El MVE.
7,
OF
L1OTHER
❑ BLD.
_/
ElPLMB. L MECH: ❑ M. H.
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
$
DESCFJIBE WORK
/9�0 A-
�K/ + ,
I� — < /�!,
FEES COLLECTED
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
of
Q,
Utilities
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
to give authority to violate or cancel the provisions of any other state or local law regula ing construction or the
performanceofconstruction.
DATE x/11 ^/ SIGNATURE_
SPECIAL APPROVALS SPECIAL DITIONS:
DEPT. REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
DATE
04* *7.00
*7.00
597.9
10-15-79
;F 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B�COIOES A PERMIT. S 9 8. 10 7
DATEOFF
I PrfO'R
APPRISSUANCE
*7.0.0°