1981, 02-04 Permit: 81A-1151 Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
3.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LOT BLOCK SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
ADDRESS
114
17^ l
CONTR.ACZOg
4' ADDRESS
PHONE
400
ZIP
OC;)
NUMBER/S
7^ (72,f .
PHONE
Actual Set Backs in Feet
North 'South East 'West
Size of Parcel Zone Classification
ZIP
Type Const.
DESIGNER
5. ADDRESS
6.
PHONE
Valuation
Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
Building Area in Sq. Ft.
CHANGE OF USE FROM
ZIP
Main Floor
Upper Floors
Garage Area
Storage
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
DESCP
8. (^
9.
2i NEW 0 ALT. 0AD'N. ❑ RPL. ❑ MVE.
0 BLD. 0 PLMB. 12 MECH. 0 M.H. 0 POOL
IBE WORK
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
R
eq'd.
Rec'd. Not Req'd.
000 V'
VALUATION
Enum. Dist.
ILocation (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
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
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION - 4/ SIGNATURE OF APPLICANT•—
•
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
17
TOTAL $ 17.
PERMIT NUMBER
04* * 1 7.00
* 17,00
* 1 7,006
A *0.00
115,0-2
02-04-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
02;;,0'4-81r151z *1.7,0,Oaj —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
2
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