1979, 12-05 Permit: 79-8732 Wood StovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WOR
8 0— v'7� q L, ` n f, A Dom' �� f FEES COLLECTED
VALUATION 4ourf ce GAS ELECTRIC WATER SEWER
�, o
9, Utilities
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. Plumbing -�—
DATE /a -,f- 71? SIGNATURE; �:%G�/ �' i� Mech. �
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDIXIONS:
DATE
_ OFFICIAL `''/�^ 1"�••" O�L2" " _ -
APPROVED FOR ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
m :7 -�
DATE
04* *7.00
*700
17.00-0
E*1100 100
8731 i
12-05-79
;@ 6479,
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
i2-05�-7� 473.2
7.00°
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION -SEE ATTACHED
1.("
/ 2 flab 9 a
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
OWZ R
PHONE
3.
ADEYRESS f
ZIP
Required Set Backs in Feet
c.�.. '049 C-1
99eC
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
AD RE SS
ZIP
.
Type Constccupancy
O
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
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE ❑ NEW ❑ ALT.
❑ AD -N. ❑ RPL.
❑ MVE.
7,
OF
❑ BLD. ❑ PLMB.
ISI MECH: ❑ M.H.
❑ OTHER
❑ POOL
CERTIFICATE
Req'd.
I Rec'd.
Not Req'd.
WORK j
of EXEMPTION
DESCRIBE WOR
8 0— v'7� q L, ` n f, A Dom' �� f FEES COLLECTED
VALUATION 4ourf ce GAS ELECTRIC WATER SEWER
�, o
9, Utilities
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. Plumbing -�—
DATE /a -,f- 71? SIGNATURE; �:%G�/ �' i� Mech. �
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDIXIONS:
DATE
_ OFFICIAL `''/�^ 1"�••" O�L2" " _ -
APPROVED FOR ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
m :7 -�
DATE
04* *7.00
*700
17.00-0
E*1100 100
8731 i
12-05-79
;@ 6479,
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
i2-05�-7� 473.2
7.00°