1979, 10-29 Permit: 79-6899 Wood StoveAPPLICATION/ PERMIT
PERMIT NUMBER
r7=
7� _
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
0 4 * * 7.0 0
* 7, 0 0 -U)1.
JOB ADDRESS +h
LEGAL` DESCRIPTION - SEE ATTACHED
1(2-0L4 20-
*70 0'.
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2
I
p
B * G 0 0 O
PHOC�NE
OWNER
/
3• ( l
Q
6 8 9, 8 $
ADDRESS
pIB"5(-��
Required Set Backs in Feet11
.1
-2- ®L4 -s-
(y
LIq ZQ co
North South East West
10-29-79
6479,
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
SAME
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
s.
No. Baths
No. Floors
No. Rooms
Rec. Room
�/
TYPE rJ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7• OF ,� ❑ OTHER
❑ BLD. ❑ PLMB. 1J MECH: ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCR BE WORK
p (' I� �O FEES COLLECTED
$
N rJ
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
of
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 or cancel the provisions of any other state or local law regulating construction or the
to give authority violate Plumbing
performance of construction.
oO
DATE 29 SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDI IONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
z
SEPA
CD
Planning
w
— -I-
Mobile
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
THIS CO
SEPA Checklist 'A- E MIT.
7 U 0
X
D'7
(�
DATE -9'
APPROVED FOR ISSUANCE