1982, 02-01 Permit: 82A-736 Wood StovePLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT ��
) NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
v APPLICANT: COMPLETE NUMBERED SPACES — PRESS
F'�ARD TO MAKE 3 COPIES
Enum. Dist. Location (Area)
JOB ADDRESS
JOB
LEGAL DESCRIPTION — SEE ATTACHED
8
OCA S �-
V
LOT
BLOCK
S
GAS
PARCEL NUMBER/S
2.
SEWER
Ownership
USE CODE
DW
UTILOITIES
PH NE
i,L-/W �GvS
Public ❑Private El
2�
O
Single $
3.
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
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_
ADDRESSI
P
Actual Set Backs in Feet
(]
� 22 Q ��
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
, l
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
North South East West
CON_TRA.CTOR
performance of construction. SEEREVERSESIDE FOR REQUIRED INSPECTIONS
PHONE
Size of Parcel
Zone Classification
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DATE OF APPLICATION a2— SIGNATURE OF APPLICANT
Mech.
4'
ADDRESb
SPECIAL APPROVALS
ZIP
Type Const.
Occupancy
Sprinklered
NAME DATE
Plan Check
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
n_
Planning
O
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
Mobile Home
Fire Marshall
-�
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
Other (Specify)
Co. Engineer
�,�--.-��
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE Rr'N EW ❑ ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
7,
OF❑OTHER
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
El BLD. ❑PLM B. MECH. ❑ M.H.
1-1 POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
DATE ISSUED PERMIT NO.
WORK
of EXEMPTION
04* *2000
*2'00
*20.00
A *000
73.52
02-01-82
6.479,
DES
RIBE WORK
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Enum. Dist. Location (Area)
FEES COLLECTED
8
OCA S �-
V
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIES
Public ❑Private El
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. SEEREVERSESIDE FOR REQUIRED INSPECTIONS
Plumbing
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DATE OF APPLICATION a2— SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
n_
Planning
O
Mobile Home
Fire Marshall
-�
Other (Specify)
Co. Engineer
�,�--.-��
Utilities
TOTAL $—�
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
+0 Z, ,;l1 r, 8,2, % 3. 6 z
0 a F
Buil echni r
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED PERMIT NO.
TOTAL