1980, 03-09 Permit M80-2393 Wood StoveVALUATION
9.
PLAN 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 ADDRESS
C, S-01 g,
LOT
2.
BLOCK
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OWNER
3 lea I11)Li-J ram/
ADDRES
4.
Asol� BRoA7wAy
CONTRACTOR
ADDRESS
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PHONE
ZIP
PHONE
ZIP
TO
KNEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
❑ BLD. ❑ PLMB. It}'MECH: 0 M.H. 0 POOL
❑ OTHER
PHONE
6126 —)agc?
ZIP Required Set Backs in Feet
Gf '2-{)6 North South
Size of Parcel
Type Const.
Valuation
Occupancy
DWL Area
Split Entry
Basement Area
East
West
Zone Classification
Sprinklered
Oyes ❑No D Req'd.
Building Area in Sq. Ft.
Garage Area Storage
Split Level
No. Baths
No. Floors
No. Rooms
CERTIFICATE
of EXEMPTION
Req'd.
Rancher
Rec. Room
Rec'd.
Not Req'd.
DESCRIBE WORK
1/000Ca s 1 e \IE. IN.S'-rf\L(
Source GAS'
of
Utilities
ELECTRIC
WATER
SEWER
hereby certify that 1 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 orT-h• !rantinof . permit does not presume
to give authorit to violate or cancel the provisions of any of sef tate ca la �d ati . -� ruction or the
,// J
2 -( - %
performance of cons ruction.
DATE
SIGN DJ
FEES COLLECTED
c�
Mech. �(y
DEP
SPECIAL APPROVALS
REQ'D. REC'D.
EnZ. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
HOME OWNER'S WARRANTY
YES Li
No ❑
SPEt�L"CONDITIONS:
DATE OFFICIAL
APPROVED FOR ISSUANCE
Single $
Building
Plumbing
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
�b-2313
DATE
04*
*7.00
*7.00 17)
239.2g
03-19-80
6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B qO(y1Cr A; EIMIT.
I)." I r c 0 2 J %�
7.00;° F-
U
w
a