1979, 10-10 Permit App M79-5648 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
JOB A
DDRESS s�(00 1M 5 LEGAL DESCRIPTION — SEE ATTACHED
3.
PERMIT NUMBER
Z
DATE
04* *700
*700
56Q7-
10-10-79
2 6479.
111rvc
Size of Parcel Zone Classification
4.
,
ADDRESS
ZIP
Type Const. Occupancy Sprinklered
Dyes ❑No ❑ Req'tl.
.s
DESIGNER
PHONE
Valuation Building Area in Sq. Ft.
5'
—
ADDRESS
ZIP
OWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
IJ.
TO
Split Entry
Split Level
Rancher
TYPE VTNo. Baths No. Floors No. Rooms Rec. Room
NEW El ALT. 1:1 AD'N. ❑ RPL. ❑ MVE.
%, OF ❑ OTHER
WORK BLD. ❑ PLMB. ❑ MECH: IIO M.El H. ❑ POOL CERTIFICATE Req'tl. Rec'tl. NOt Req'd.
of EXEMPTION
I
DE5 RISE RK
WO
$• Oa
b` / FEES COLLECTED
VALUATION
Sourc
GA
ELECTRIC
WATER
SEWER
9
of
utilities
—
hereby certify that I have read and examined this application and have read the "NOTICE"
Single $
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
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
Plumbing
DATE I�), 7q SIGNATURE 1?�O
if 7'0"2
Mach.
SPECIAL APPROVALS
SPECIAL NDITIONS:
DEPT. REq'D. RECD.
Plan Check
Env. Health
Planning
SEPA
C
t—
Fire Marshalld
Mobile Home
z
Co. Engineer
Other (Specify)
Utilities
Zone Clearance
TOTAL $
WHEN MACHINE VALIDATED
SEPA Checklist
IN THIS SPACE,
r.
THIS BECOMES A PERMIT.
DATE( �� OFICIA
O —.,1 0— 7 9
1
5 6 18 z * 7, p 0
APPA pn CnA me tilunc