1982, 11-17 Permit App M82B-1144 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 3 COPIES
JOB ADDRESS
LOT
2.
BLO".:;K
LEGAL DESCRIPTION - SEE ATTACHED
SUBDIVISICN
OWgR
3. "I\
ADDRESS
CONTTRRACCTCCRR
4. ADDRESS
6�1 r p- Aio
PHONE
ZIP
9 2O
PHONE
PARCEL NUMBER'S
Actual Set Backs in Feet
North (South East (West
Size of Parcel Zone Classification
ZIP
Type Const.
Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE CJ NEW ❑ ALT. ❑ AD'N. ❑ RPL. D MVE.
7. OF
8.
9.
WORK ❑ BLD. ❑ PLMB. 2 MECH. ❑ M.H. ❑ POOL
DESCRIBE WORK
kJeer y U 6
VALUATION
SOURCE GAS
OF
UTI LITIES
ELECTRIC
WATER
❑ OTHER
SEWE R
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private 0
USE CODE
Req'd.
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 la regu Ling construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT(
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLIC
SPECIAL CONDITIONS:
Req'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
ch.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ Z-()
PERMIT NUMBER
144
Q1 *2000
1 1 4,32
11-17-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Ell r nnov
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
11-Y7_82
DATE ISSUED
114.4z *20.000
PFRMIT NJG T11TC.I