1982, 11-01 Permit: 82B-445 Wood StovePLAN NUMBER
$1
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
�.i-7t �� ; t LEGAL DESCRIPTION —SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
OWNER
3. (Zbt3EGr.r
ADDRESS
L1 F IL %
ZIP Actual Set Backs in Feet
"Z— % North South
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
5A
[--]yes [:]No E3 Req'd.
DESIGNER
PHONE
Valuation
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.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF_ElOTHER
El BLD. El/ PLMB. & MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist. I
Location (Area)
FEES COLLECTED
8. Lv(XaTom' "lp c ST
VALUATION
I SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
1UTILITIES1
I
I
Public ❑ Private ❑
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 give authority to violate or cancel the provisions of any other state or local law
g lating construction or the
performance of constructi,ion. SEE REVERSE SIDE FOR REQUIRED INSPECTION
Plumbing
nATC f1C ADDI Ir`Ar1nr,1� /7!/P'if L / CI!_AILITI IRC (1C ADDI I!`nAIT
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Mech. 7Z 4%
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
'ng ethnic' n PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ .20, dr)
PERMIT NUMBER
S
--4
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
8`24452
DATE ISSUED PERMIT NO.
* 2 R MOO J -
TOTAL