1979, 11-28 Permit M79-7998 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 4 COPIES
1.
2.
JOB ADDRESS
LOT
BLOCK
P.fF-rWc i) A121v-
SUBDIVISION
3.
4.
OWNER
MEL_JIfi
ADDRESS
.'2 L-
CONTRACTOR
As1c. Bvl P.N
P I P71,000p AP_1UE, .VntcANIF
PHONE
2h'7821
ZIP
Rga_O6
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South East 'West
Size of Parcel 1 Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation 1Building Area in Sq. Ft.
6.
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE O JSE FROM
7.
TYPE
OF
WORK
TO
Split Entry
Split Level
Rancher
EW ❑ ALT. 0 AD'N. ❑ RPL. 0 MVE.
❑ BLD. 0 PLMB. CJ MECH: ❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8 W00 b 5.T'o h i✓. 1 ,S-rAL.L._ —li o N
VALUATION Source GAS
9. ?,006+p Utilit
ies
ies
ELECTRIC
WATER
SEWER
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 reating copy tion or the
performance of construction.
DATE
DEPT.
/ ' 77
SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATUR
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE I1--1Ce7c OFFICIALS »I(f-14-.fG};
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing Mech. / �j
51Qy'
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ %
DATE
M
PERMIT NUMBER
'7q - 79
?1-jla
04* *7.00
*7.00
799,7Y.
11-16-79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11 "116- 7 9i
799.8 *7,0.0,