1979, 11-29 Permit App M79-8482 Wood StoveHill
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT M 71 �^
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE �� J� /V
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 4 COPIES 104* *700
JOB ADDRESS r LEGAL DESCRIPTION —SEE ATTACHED *7.00 N
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cuucrc
�uCUl v151Ury
Split Level
Rancher
PARCEL NUMBER/S
8 4 8 1
2.
1 1-29-79
OWNER
PHONE
No. Rooms
Rec. Room
7, OF ❑ OTHER
11 BLD. ❑ FILMS. MECH: 0 M.H. 0 POOL
3.l
CERTIFICATE
Req'd.
Recd
77 17;477
6479.
AD RESS
ZIP
Required Set Backs in Feet
�r
,}{
.Ri1
�'-f��--
,24
North South
East West
CONTRACTOR
PHONE
Size of Parcel Zone Classification
GAS
ELECTRIr
WATER
SEWER
9.
of
Utilities
ADgR E55
ZIP
Type Const.
Occupancy
Sprinklered
lI 'I
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
❑Yes ❑No 0 Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
Plumbing
`y! I �yA
ADDRESS
ZIP
DWL Area
I Basement Area I
Garage Area
Storage
CHANUB OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE ED NEW El ALT. ElAD'N. El RPL. ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7, OF ❑ OTHER
11 BLD. ❑ FILMS. MECH: 0 M.H. 0 POOL
CERTIFICATE
Req'd.
Recd
77 17;477
WORK
of EXEMPTION
DESCRIBE,WORK _ /
8. FEES COLLECTED
VALUATIONy
Source
GAS
ELECTRIr
WATER
SEWER
9.
of
Utilities
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 cal la regulating construction or the
performance of construction.
Plumbing
`y! I �yA
DATE//— � ' % SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITI NS:
DEPT. REQ'O. RECD.
Plan Check
Env. Health
SEPA
�
Planning
—
L
c
Fire Marshall
Mobile Home
c
Co. Engineer
Other (Specify)
Utilities
;
TOTAL $�
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
A-- i
�u
THIS B QOM A P MIT.
1 -2 -7
5 4 8.2 � �. � �
D . �
DATE— OFFICIAL
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