1980, 10-13 Permit: 80B-1887 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
1. oi�- I I,c+ :3 (. LEGAL DESCRIPTION -SEE ATTACHED
OWNE L � PHONE
3.
ADDRESS /1y� I P1�1��J' Actual Set Backs in Feet
• t L! v I' 1 North South East West
CONTjtf�Cq PHONE Size of Parcel Zone Classification
4. ADDRRREEESSS`���� ZIP 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
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF % ❑ OTHER
WORK ❑ BLD. ❑ PLMB. MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESC IBE WORK Enum. Dist. I Location (Area)
8 0� O_ /yam 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 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
rL Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
Planning
Fire Marshall
Co. Engineer
Plans Examiner
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
/Y IPERMIT NUMBER
*,e () P5 - /0 P, -*�? i
10-1 -t>0
6. d 7 C
SEPA
U
Mobile Home
J
ti
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ti
81 1 E 8.7 5-1
DATE ISSUED PERMIT NO.
TOTAL