1982, 02-08 Permit: 82A-898 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
`fid LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK 15UBDIVISION PARCEL NUMBER/S
OWNER
PHONE
3. 0699. !-IlETi1 6 6a,1C
5241=1 lr
, DDR
ZZIIYP+
Actual Set Backs in Feet
/SSS -t
North South East
West
CONTRACTOR
PHONE
Size of Parcel Zone Classification
4'
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
I
TYPENEW ❑ ALT. ❑ D' N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
�/
WORK ❑ BLD. -1PLMB. L✓� MECH. 1:1M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
DESCWY E WORK
Enum. Dist. Location (Area)
8. ct=Z7e Cl zr%i t iN '-ro Q ET
FEES COLLECTED
VALUATION
SOURCE
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" 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 APPLICATIO �-- SIGNATURE OF APPLICAN �' -4Mach.
`
SPECIAL APPROVALS
9PECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
re
neer
s Examiner
Bu ng Technician PERMIT IS NONTRANSFERABLE
0- ma•C PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
TOTAL $ 26.Oo
PERMIT NUMBER
-fit SJR - e)cae)
4* *2COC
*2QCC' v
*2CCC.Y
A * C
C2 -C8-82
r: b, 4.7 9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0.2,-08 '8, 89.82
DATE ISSUED PERMIT NO.
7
*20.00T��
TOTAL