1982, 08-03 Permit: 82A-6706 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 ADDRESS
(Z�}d 5`i� LE AL DESCRIPTION — SEE ATTACHED
LOT I BLOCK S B I ISION PARCEL NUMBER/S
OWNE
3. ---V
WrCka
NE
G, a
PERMIT NUMBER
0[! * *20,00
670.5;
08-05-82
ADDR=o k I I, I VIA,1 'W,= Actual Set Backs in Feet ; 6.479.
*20.008 -
TOTAL
-14- V
W
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4'
ADDROS
p
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.
TYPE
NEW El ALT. ❑ D'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
], OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL
CERTIFICATE
q'd.
Recd.
Not Req'd.
of EXEMPTION
I
DESC IBE WORK -5i-IC)
��j� �(�,
8. &V '7 IC) V l/
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
I UTILITIES
I
Public ❑ 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 ._
SIGNATURE
Ll—o OF APPLICANT
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTA L $
Plans Examiner
t
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
Bw Te
PERMIT IS NONTRANSFERABLE
0;80 .5 -'$'�2 6 7 Q, 6 z
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED PERMIT NO.
*20.008 -
TOTAL