1982, 11-05 Permit: 82B-672 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 3 COPIES
1 JOB ADDRESS + LEGAL DESCRITTION — SEE ATTACHED
LOT�[[I BLOCK S BDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3Klk 5;
ADDRIF
ZIP
Actual Set Backs in Feet
1 �) 10
�7
L�&
North South
East West
CONTR CTI
(
PHONE
Size of Parcel
Zone Classification
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
Dyes []No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5' ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Ar;T
Storage
CHANGE OF USE FROM
TO
Area of Decks
I Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPEEW ALT. ❑ AD'N. 1:3 RPL. El MVE.
7, OF El OTHER
ElBLD. ❑ PLMB. MEC H. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESC
IBE WORK
,fir_
Enum. Dist. Location (Area)
FEES COLLECTED
8
�0^2�<
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9,
OF
UTILITIES
Public 1:1 Private ❑
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
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
/
DATE OF APPLICATION f cf�.2 SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
_
Plan Check
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
-1 PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
e�-2,t3 - X72
;J4* *20. 00
I` *20.00
A
* �'. �..% 0 L
6 7. 1 u
11-05—n2
6,479.
TOTAL $ 1z, 0
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
141�-0 5-�8'2 6 7.2 Z
DATE ISSUED PERMIT NO.
�20.00a- -
TOTAL
c.J