1979, 11-07 Permit: 79-7439 Wood StovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
VALUATION I So ce GAS ELECT IC WATER SEWER
f
9, t 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 stat %rloc law egulating co ruction or the
performance of construction. Plumbing
DATE �/ / "— -- ✓ `"� SIGNATURE Z l�� Mech.�
C SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
PERMIT NUMBER
DATE
04* *7.-00
*7.00
*7,00n
E *000
743.82
1 1 -07-79
;P 6479,
UtilitiesTOTAL $'
Zone Clearance
WHEN MACHINE VALIDATED IN
SEPA Checklist Jy .7� .7 ,, j THIS BECOMES A PERMIT.
DATE OFFICIAL.-'�f a"�� /J�= 11 0 7'- T9�
APPROVED FOR ISSUANCE
i SPACE,
743,92 *7.0.0°-j
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION -SEE ATTACHED
�
� 14d&
If, 1LOT
`�� /
BLOCK
PARCEL NUMBER/S
2. I
ISUBDIVISION
OWNER
PHONE
3
�u"' /
AD ESS
ZIP
Required Set Backs in Feet
>x
4-- I l<?
��' -�
=tcn
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4' AD ESS
ZIP
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5' ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE
FROM
TO
Split Entry
Split Level
Rancher
No. FloorsNo. Rooms Rec. Room
TYPE ❑ NEW
❑ ALT.
❑ AD'N. ❑ RPL.
❑ MVE.
7, OF
❑ BLD.
❑ PLMB.
MECH: ❑ M.H.
❑ OTHERWORK
❑POOL
L6.
LBa
FICATE
Req'd.
Recd.
Not Req'd.
MPTION
DESCRIBE WORK
FEES COLLECTED
8. ,
c' ?
t .
VALUATION I So ce GAS ELECT IC WATER SEWER
f
9, t 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 stat %rloc law egulating co ruction or the
performance of construction. Plumbing
DATE �/ / "— -- ✓ `"� SIGNATURE Z l�� Mech.�
C SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
PERMIT NUMBER
DATE
04* *7.-00
*7.00
*7,00n
E *000
743.82
1 1 -07-79
;P 6479,
UtilitiesTOTAL $'
Zone Clearance
WHEN MACHINE VALIDATED IN
SEPA Checklist Jy .7� .7 ,, j THIS BECOMES A PERMIT.
DATE OFFICIAL.-'�f a"�� /J�= 11 0 7'- T9�
APPROVED FOR ISSUANCE
i SPACE,
743,92 *7.0.0°-j