1980, 01-09 Permit: 80A-9981 Wood StovePLAN NUMBER
APPLICATION/ -PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
VALUATION Source GAS ELEC RIC WATER SEWER
of
9. Utilities 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 Plumbing
performance of construction.
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Plan Check
DEPT. r REQ'D. REC'D. �A
Env. Health
X +
SEPA
Planning ; ,�'�.J \ �.1��.L,.�v V't
Mobile Home
Fire Marshall
r\JCy U Other (Specify)
Co. Engineer
-f-i" W r
PERMIT NUMBER
DATE
C4* *7.00
*7.00
*7.00
E *O,OC
998,02
01-09-80
2 6.479,
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist
DATE i -_C-2aFFICIAL 16 u 1
APPROVED FOR ISSUANCE
0 1-0g-8 0,, 7
Z. 1
*7,00' '
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
1.
LOT
BLOC
PARCEL NUMBER/S
2.
ISFJBD]VrSION
OWNER
PHONE
3
ZIP
Required Set Backs in Feet
ADDRESS
Cx
North South
East West
CO TOR ,
PHONE
Size of Parcel
Zone Classification
4.
ZIP
Type Const.
Occupancy
Sprinklered
ADORES
01)
CI CA
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE E] NEW El ALT.
❑ AD'N. El RPL.
ElMVE.
7,
OF
❑ BLD. ❑ PLMB.
❑ MECH: ❑ M. H.
❑ OTHER
❑ POOL
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
I
FEES COLLECTED
8.
VALUATION Source GAS ELEC RIC WATER SEWER
of
9. Utilities 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 Plumbing
performance of construction.
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Plan Check
DEPT. r REQ'D. REC'D. �A
Env. Health
X +
SEPA
Planning ; ,�'�.J \ �.1��.L,.�v V't
Mobile Home
Fire Marshall
r\JCy U Other (Specify)
Co. Engineer
-f-i" W r
PERMIT NUMBER
DATE
C4* *7.00
*7.00
*7.00
E *O,OC
998,02
01-09-80
2 6.479,
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist
DATE i -_C-2aFFICIAL 16 u 1
APPROVED FOR ISSUANCE
0 1-0g-8 0,, 7
Z. 1
*7,00' '