1982, 10-20 Permit: 82A-9882 Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
Cd tyl�
ADDRESS ZIP Actual Set Backs in Feet
IF— ' 1i1L>,1 (5:kckNorth South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ADDRESS ZIP Type Con,t. Occupancy Sprinklered
}i�'1ni�i ❑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 I Unfin. Basement
6.
TYPE E� IEW ❑ ALT. AD'N. RPL. MVE. aths No. BNo. Stories No. Rooms No. of Dwellings
CJ N ❑ ❑ ❑
7. OF❑ OTHER
WORK 1:1BLD. 11M/ PLMB. MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
8. � N C ��z-a �F
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
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 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 state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION (`� �D��� SIGNATURE OF APPLICANT �L�y Mech. ��
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE Plan Check
lealth
anning
re Mar
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
.hnician -- PERMIT IS NONTRANSFERABLE
59 1 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $���
1�vlPERMIT NUMBER
82A.—Ck80--Z— I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1.0::20-'82 988.22
DATE ISSUED PERMIT NO.
*20,00 -
TOTAL
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