1982, 01-27 Permit M82A-654 Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY -- BUILDING CODES DEPARTMENT
PERMIT NUMB.I.R
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LO T
2.
BLOCK
SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
3.
OWNER
AD DRESS
• I7 E r
CONT Oil
4' ADDRESS �I�
PHONE
-z
IP
PHONE
Actual Set Backs in Feet
North (South jEast (West
ZI P
DESIGNER
5. ADDRESS
PHONE
ZI P
Size of Parcel
Type Const.
Valuation
Main Floor
CHANGE OF USE FROM
6.
TO
Occupancy
Upper Floors
Area of Decks
TYPE
7. OF
WORK
CJ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. U MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
Storage
Unfin- Basement
No. Stories No. Rooms
No. of Dwellings
CERTIFICATE Req'd.
of EXEMPTION
Rec'd.
Not Req'd.
DESCRIBE WORK
8. �� Cc 2 \IC)
VALUATION SOURCE
OF
9. UTILITIES
GAS
ELECTRIC
Enum. Dist. I Location (Area)
WATER
SEWER
Ownership
Public El Private ❑
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
DATE OF APPLICATION
-zC
SIGNATURE OF APPLICANT 'Z/ • � �
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
$�-
04* *20,00
*20.00
*20.006
A *0.00
65.3R
01-27-82
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
kit T tr
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
01't27-82
65,45
DATE ISSUED PERMIT NO.
*20.00g1-
TOTAL