1980, 11-14 Permit: 80B-3715 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
JOB ADDRESS5--TLEGAL DESCRIPTION_ — SEE ATTACHED
1. ��- �'
LO B
2.
OWNER
3.
i
SUBDIVISION PARCEL NUMBER/S
^`r _ J I --
ADD ESS
2— ��
ZIP /^
Actual Set Backs in Feet
w
North South East
West
CONT A(;T_Ojt6
PHONE
Size of Parcel
Zone Classification
4'
ADDR1�ES(/QS}\j''�`--//I�I)
ZIP
Type Const.Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
I
TYPE �� MVE.
RPL. AD'N. ALT. EW
IJ N ❑ ❑ ❑ ❑
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF -1 OTHER
WORK EJ BLD. EJPLMB. 94./MECH. EJM.H. El POOL
CERTIFICATE
Req'd.
Rec'd.Not
Req'd.
of EXEMPTION
DESC IBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
8. fXJt�i U�l
VALUATION
I SOURC
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIES
Public ❑ Private ❑
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" ncluded
on reverse side, and know the same to be true and correct. All provisions of laws and ordinaing this
type of work will be complied with whether specified herein or not. The granting of a permitpresume
Building
]doesnot
to give authority to violate or cancel the provisions of any other state or local law regulating cn othe
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
Plumbing
00
DATE OF APPLICATION SIGNATURE OF APPLICAN
h•
SPECIAL APPROVA
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
PERMIT NUMBER
J4* *7.00
7. : ',l t' v7
*7.00
A Q n, G E
371.6
11-14-80
479.
6.
SEPA >-
2
Planning O
_ U
Fire Marshall Mobile Home w
ri
Co. Engineer I I Other (Specify)
Utilities
Plans Examiner
n PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
l'1 t14 —To, 3i 7.15 `Z,
DATE ISSUED PERMIT NO.
*7.0000
TOTAL