1982, 09-30 Permit App: 82A-8894 Wood StovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PREWHARDTO MAKE 3 COPIES
JOB ADDRESS
.3�.� LEGAL DESCRIPTION - SEE ATTACHED
LOT BLO K
Ut3UIVlblUN PARCEL NUMBER/S
2.
OWNER PHONE
3.
ADDRESS
ZIIPr�
Actual Set Backs in Feet
C -I `1 .+z/
CONTRACTOR
PHONE
North South East
Size of Parcel
West
Zone Classification
.-rvxc
4.
ADDRESS
ZIP
Type Co-nq
Occupancy
Sprinklered
"l (Nlc
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
V�
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
TYPE ��EW ❑ALT. ❑ D'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7. OF ❑ OTHER
2(BLD.
WORK ❑ PLMB. MEC H. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
8. t,.'I -,
QE -11
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTR CWATER
1vvL
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public ❑Private ❑
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
c
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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
�Cl.EJO
DATE OF APPLICATION,---:: 1t � /f_' LgIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
ealth
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bot#dinq Sschnician __
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ -40-o
PERMIT NUMB;ERR,
02* *20.00
04* *2000
*40,00 �i
889,300
09-30-82
z 1x479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 0`42 889.425
DATF ISiIIFn PGRPAIT Alrl
*40,00 (OL
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