1981, 11-03 Permit: 81B-1443 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 I BLOCK SUBDI ISION PARCEL NUMBER/S
2.
OWNER
3. RICK E
ADDRESS
CONTRACTOR
4. ADDRESS
DESIGNER
5.
=T
F—
PHONE
`l2 -Y -73`j l'
ZIP
/
1772 c)b
Actual Set Backs in Feet
North South
PHONE
Size of Parcel
ZIP
Type Const.
Occupancy
PHONE
Valuation
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
TYPE �94
Lfl NEW ❑ ALT. ❑ AWN. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
WORK 1:1 BLD. 1-1PLMB. D MECH. ElM.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist. Location (Area)
8. WOUn 5-rOVC 1N<I-AA L/{'i'[ON
I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public ❑ Private E3 L
Single $
1 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
w
iJ�
DATE OF APPLICATION—i SIGNATURE OF APPLICANT Mech. 7 XkXk
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
g Techn
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
PERMIT NUMBER
/ VOls— 14 3
04* *17,10
* i 7.00
1 44.2
1 1 —03—c 1
6479.
Mobile Home
/S5(4,c--
Other (Specify)
Oa
TOTA L $ 17 XX
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1445 Z
DATE ISSUED PERMIT NO.
I Z 0 0 ao 0 -
TOTAL
tb
O
U
LU
J
U-