1982, 02-16 Permit: 82A-1004 Wood StovePLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
%fit ' 100
SPOKANE COUNTY = SitiLOING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
4 * *
ADDRESS
JOB A
I -3LEGAL
� 1
DESCRIPTION - SEE ATTACHED
0
1
2 0. 0
2 0. 02
T
BLOT K
SUBpIONCl
�
PARCEL NUMBER/S �
/L.(
i O: O G v
OWNER
0
PHONE
3 .
1 0Q3;2
iD$ES
ADS � �
ZIP
Actual Set Backs in Feet
North South East West
02-16-82
CONTRACT R
PHONE
Parcel
Zone Classification
-73 85
Size of
GJAJ 19il," �a
0
z 6479,
4.
AD RESS,p
(/
O 7
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
s.
TYPE❑ NEW ❑ ALT. MVE.
❑ A ❑ RPL. ❑
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF El OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK El BLD. 1:1PLMB. MECH. ❑ M.H. El POOL
of EXEMPTION
DESCRI E WORK
8. C'G' k)I
Enum. Dist.
Location (Area) FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES 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 regul ing construction or the
performance of construction. SEEREVERSESIDE FOR REQUIRED INSPECTIONS Plumbing
� — / 6� �Z `� Mech. r.
DATE OF APPLICATION SIGNATURE OF APPLE
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
s Examiner
gTe ,lCi�i 1 PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
.�
TOTAL $ �—
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
6-'8'2` 1'0 Q4 Z
DATE ISSUED PERMIT NO.
2100aF -
TOTAL
r
n_
CD
U
7-2
L-
210 0 a' F'
.