1979, 10-25 Permit: 79-6739 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
LOT I BLOCK IbUt3UIVI5ION I PARCEL NUMBER/-';
O NER
3.
ADDRESS
//L'
CONT RAC -
4. AAD�q ESS
DESIGNER
5. ADDRESS
R
PHONE
zz� 10
ZIP �7
� I? :�Z
PHONE
ZIP
PHONE
ZIP
CHANGE OF USE FROM TO
6.
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OF ❑ OTHER
WORK 1:1BLD. ❑ PLMB. 1:1MECH: 1:1M.H. ElPOOL
DEACRIBE,WORK
8.
Required Set Backs in Feet
North South East West
Size of Parcel
Zone Classification
Type E;77
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. Baths
No, Floors
No. RoomsRec.
Room
CERTIFICATE Req'd.
of EXEMPTION
Recd.
Not Re,
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
Of
9, 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 local law regulating construction or the
performance of construction. Plumbing
DATE SIGNATURE i( �1!/1,Q /% �%= `. ? Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D_ RECD. I Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DAT -le -"K' -Z'- 9-FFICIAI,� ( �
APPROVED FOR ISSUANCE
SEPA
Mobile Home
Other (Specify))
TOTAL $�
PERMIT NUMBER
-7 --� ;7
DATE
04* *7.00
*7,00 N
*7.000
B *a00
673.8
10-25-79
@ 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
125-79 6`'
0 73;925
�* 7..0 0 a