1979, 11-16 Permit: 79-8015 Wood StovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION —SEE ATTACHED
1-01 1 t3L.Uf-;K 1SUBDIVISIUN I PARCEL NUMBER/S
PERMIT NUMBER
/Vi / 7
DATE I
04* *7.00
*7.00
801.4
11-16-79
6479.
8• Woop sirup- ►NST 'Tie)W
OWNER
V LUATION
Source
GAS
ELECTRIC
PHONE
SEWER
0 �.
Q,
of
Utilities
Single $
cl "Z
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
3.
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 I al law regulating construction or the
-
ADDRESS
SPECIAL APPROVALS SPL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
ZIP
Required Set Backs in Feet
SEPA
t?2 q
,30 A
.5
Mobile Home
Fire Marshall
North South
East West
CONTRACTOR
TOTAL $
Zone Clearance
PHONE
Size of Parcel
Zone Classification
4.
'I � c7)
DATE OFFICIAL — -
APPROVED FOR ISSUANCE
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
M
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 LJ NEW
❑ ALT.
❑ AD'N.
❑ RPL.
❑ MVE.
7,
OF
ED]OTHER
ElBLD.
ElPLMB.
F�'- MECH:
❑ M.H.
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
FEES COLLECTED
PERMIT NUMBER
/Vi / 7
DATE I
04* *7.00
*7.00
801.4
11-16-79
6479.
8• Woop sirup- ►NST 'Tie)W
V LUATION
Source
GAS
ELECTRIC
WATER
SEWER
0 �.
Q,
of
Utilities
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 I al law regulating construction or the
performance of construction. Plumbing
DATE 41612 Z SIGNATUR Mech.
SPECIAL APPROVALS SPL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THIS BECOMES A PERMIT.
'I � c7)
DATE OFFICIAL — -
APPROVED FOR ISSUANCE
i
*).o"7,,r