1981, 01-27 Permit: M81A-882 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
� r 081,LEGAL DESCRIPTION -SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3. M I V-C-n� U) itL4L9- CAZ49-- k&CI
ADDRErS�S�^�
ZIP
Actual Set Backs in Feet
/ p?
1=. IL)G ilio 3i ST
192&')(.
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
"Air
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
I
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE ,--,{
KJ NEW El ALT. E] AD'N. El RPL.
El MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7, OFJ
ElOTHER
1:1BLD. 11PLMB. LVJ MECH. ❑ M. H.
❑ POOL
CERTIFICATE
Req'd.
Rec'd.Not
Req'd
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
8. LLzi t)31AQN:/l1Ci SiL)L,
VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES Public El Private ❑
Single $
I 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 SIGNATURE OF APPLICANT
cy
R / (it Mech. 17.00
_
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
ns Examiner
Building Tech�nniciann
�%
PERMIT IS NONTRANSFERABLE
PFRMIT FXPIRFC nNF YFAR FRnM DATE OF ISSUANCE
TOTAL $ 17 LX-)
PERMIT NUMBER
81At-seZ
04* 1 �,0®
* 1 7.006"
A *0.00 00
881
01-27-81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01 - 2,7;7,81 8 8.2
nATF ISSI1Fn PFRMIT NO
*17.008)
TOTAL