1982, 01-12 Permit M82A-211 Wood StoveFLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUIJ.DING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
i 7C-2-' ; PSI yt) f
LOT
BLOCK SUBDIVISION
3.
4' ADDRESS
OWNER
ART-
drys -
ADDRESS
2--()
CONTRACT R
L�IiV��i
p6N1OreqW.7`7,
ON
• 5
ZIP
990 3
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South East (West
Size of Parcel Zone Classification
ZIP
Type Const.
Occupancy Sprinklered
❑Yes ❑Na ❑ Req'd.
DESIGNER
PHONE
Valuation Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE
7. OF
WORK
8.
13NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. ❑ '//ECH. ❑ M.H. ❑ POOL
DEfiCRIBE WORK
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
WATER
SEWER
Ownership
Public ❑ 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 • EVE • SE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
r, 2-- SIGNATURE OF APPLICANT w4:u `yI
SPE IAL CONDITIONS:
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
ch_
Plan Check
SEPA
Mobile Home
Other (Specify)
�-Q
TOTAL $ 2- L
-
PERMIT NUMBER
t
04* *2000
*2000 tz
*20.006
A * O. C 0
21,0R
01-12-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
r11 r n.
Build' rlhTech is
PERMIT IS NONTRANSFERABLE
011.442r 8 2 2 115
*2aooa1--
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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