1980, 08-05 Permit 80-8141 Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
PERMIT NUMBER
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
/
1 LOT BLOCK SUBDI ISION(
O\NrNER PHONE
3 ,41,0 -ILZ-? ' S.. 7 �. .t.ti , _ , : ':--3,V -Z ;
A DRESS 7 ZIP
r �d�
e , /Q �' / %t. ,t ty ` -,CAP,-,et -.4(. -;` vevG,
(C� �Ol1NTRACTOR / PHONE
J3..1 f
4' ADDRESS
5.
ADDRESS
DESIGNER
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
Occupancy
Zone Classification
Sprinklered
Des ❑No 0 Req'd.
Building Area in Sq. Ft.
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
O NEW
O BLD.
❑ ALT.
❑ PLMB.
ZIP
TO
❑ AD'N.
R MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
Upper Floors
DESCRIBE WDRK
VALUATION
9.
SOURCE
OF
UTILITIES
AS
ELECTRIC
WATR
SEWER
Garage Area
Finished Basement
CERTIFICATE
of EXEMPTION
Ownership
Public 0 Private 0
Storage
Unfin. Basement
No. of Dwellings
USE CODE
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
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
lL '%, l`- ,(
DATE OF APPLICATION cf —�. ;; 4� SIGNATURE OF APPLICANT e`i,
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
1
04* *7.00
*7,00
*7.006
E *0.00
8140g
08-05-80
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
B/lukdiing //Tieechrrr) cian
j
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
08-03'-80 8141z *7.002---2 -
DATE ISSUED PERMIT NO. TOTAL