1980, 09-26 Permit: M80B-933 Wood StovePLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 9 33
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. (, 36 LEGAL DLSCRIPTION - SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
OWNER
3.
ADDRESS
PHONE
12 �S
ZIP
<.d Actual Set Backs in Feet
-/ fit' North South
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4'
AD RESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ 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
Np. of Dwellings
TYPENo.
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
ElBLD. ElPLMB. ;9MECH. 1:1M.H. ElPOOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
ESCRIBE WORK
Enum. Dist. Location (Area)
8 — � -
FEES COLLECTED
VALUATION
SOURCE
G S
ELECTRIC
WATER
SEWER
Ownership
CODE
9.
UTILOITIES
Public ❑Private ❑
FUSE
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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
Plumbing
�y
DATE OF APPLICATION _7 L _ SIGNATURE OF APPLICANT i-'Yl/3't.
Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
L
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
[; R *7.00
*7.00
*7.006'
ri *0.00 8
93.22
09-26-80
2 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
�n�gT7ec ician PERMIT IS NONTRANSFERABLE
��14&111 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSIIFD PERMIT Nn TnTAI