1982, 04-05 Permit: 82A-2485 Wood StovePLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
G NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 3sT tt LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISION I PARCEL NUMBER/S
OWNER
PHONE
�2.wc.c- N\A-qe'T+IV
?. ZiCa7
3.
ADDRESS
ZIP
Actual Set Backs in Feet
�2 3�TN
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4' DDRRESS
ZIP
Type Co7
Occupancy
Sprinklered
(vw
❑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
No. Baths
No. Stories
No. Rooms
No. of Dwelling
LK NEW ❑ ALT. ❑ D'N. ❑ RPL. ❑ MVE.
7, OF ` 11OTHER
❑ BLD. 11PLMB. LLLJ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIBE WOWK
Enum. Dist. Location (Area)
8 � ��tS6, S_Tt7l C
I
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
I
I
I
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 INSPE
Plumbing
'S—C i -
1:
j
Mech. '` S 6z:i 2
DATE OF APPLICATI04 SIGNATURE OF APPLICAN
SPECIAL APPROVALS
SPECIAL CONDITIONS:
KIA NAc norms
Plan Check
Env. Health
PERMIT NUMBER
M _2465'
.04* *2,1500
*2000
r CU
*V0i
248,4
04-05-82
6479,
SEPA I 2
Planning CDU
.f
Fire Marshall Mobile Home ---4
t%.
Co. Engineer I I Other (Specify)
Utilities
Plans Examiner
Technician PERMIT IS NONTRANSFERABLE
f
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL $ ZZ`nfJ
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
s..'
04p5 g2' 248.52
DATE ISSUED PERMIT NO.
*2�.�� IL
TOTAL