1982, 02-22 Permit: 82A-1168 Wood StovePLAN NUMBER APPLICATION/PERMIT PERMIT UMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
j NORTH 811 JEFFERSON / SPOKANE,INASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
OWNER_„,
3.
ADDRESS
F . I I cry --
CONTRACTOR
4' ADD S
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
'' �' LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVI ION PARCEL NUMBER/S
i ZIP Actual Set Backs in Feet
North South East
::::
PHONE Size of Parcel Zone Cla
95 —le-,,, 1 t%
04* *20.00
*2.000
*20001
A *0.00 00
1167
02-22-82
6479
. y
J
PP
Type Const.
Occupancy
Sprinklered
• - 1 ( �t
�� _,�
Oyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
6. CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPENEW ALT. AD'N. RPL. ❑ MVE.
❑ ❑❑ ❑
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7• OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRI E W
�__...
�
RK �
Enum. Dist. Location (Area)
8• _ �'
_'
� `-� �, 5
FEES COLLECTED
'
VALUATION
SOURCE
OF
_
GAS
ELE TRIC WATER
SEWER
Ownership
USE CODE
9.
UTILITIES
Public ❑Private ❑
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
Single $
1
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
'', 1
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech. J 11lJ
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
Planning
SEPA
c�
Fire Marshall
Mobile Home
_ c.�
w
J
Co. Engineer
LL
Other (Specify)
Utilities
TOTAL $
Plans Examiner
SEPA Checklist
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building ec
PERMIT IS NONTRANSFERABLE
Q"�a �'' •'8 2' l l 68 Z * 2 0, O a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. TOTAL