1980, 07-08 Permit M80-6785 Wood Stove(PLAN NUMBER
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SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
Pi I (C'6, 7
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
7)
J
1. ,_.
LOT BLOCK UBDIVII
JOB ADDRESS
2.
QWNER ' n
3. 1-,. L".ci
ADDRESS 1 `
CONTRACTOR
PHONE
ZIP
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North _(South lEast 'West
Size of Parcel I Zone Classification
4- ADDRESS
ZIP
DESIGNER
5' ADDRESS
PHONE
ZIP
Type Const.
Occupancy
Sprinklered
Eves ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
Main Floor I Upper Floors
Garage Area
Storage
6.
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
9.
❑ NEW
❑ BUD.
9FSCRIBE WORK
IB
VALUATION
❑ ALT.
❑ PLMB.
SOURCE
OF
UTILITIES
AS
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
IELECTRIC L WAT-R
❑ OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
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 REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 7 - SIGNATURE OF APPLICANT Litto4• :47
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Req'd.
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
1
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL
c7
'4 Li-)
$;
04*
*7.00
*7,00
6784g_
07-08-80
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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1
PERMIT IS NONTRANSFERABLE
07. '08-'8'0 678.5z
*7.000. —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL