1980, 10-23 Permit M80B-2587 Wood Stove, FireplaceIPLAN NUMBER
/ APPLICATION/PERMIT
opg
7 �� 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
LOT BLOCK SUBDIVISION
3.
O\NJER
ADDRE S
CO TRACTOR
4. 4141-
AD5 RESS
5.
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
D NEW
BLD.
❑ ALT.
❑ PLMB.
PHONE
ZIP
PHONE
ZIP
PHONE
ZIP
TO
❑ AD N.
MECH:
❑ RPL.
❑ M.H.
❑ MVE.
0 POOL
0 OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North
Size of Parcel
South
East
West
Type Const.
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No D Req'd.
Valuation
Building Area In Sq. Ft.
DWL Area I Basement Area
Garage Area Storage
Split Entry
Split Level
No. Baths
No. Floors
CERTIFICATE
of EXEMPTION
Rancher
Rec. Room
Req'd. Rec'd. Not Req'd.
No. Rooms
ESCRIBE WORK
.0�..r t
VALUAT
Source
of
Utilities
GAS /
ELECTRIC
i_e/ 'J
WAT R SEWER
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.
DATE tO SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CO DITIONS:
DATE OFFICIAL ili1-< /!� v1/-IiL _
FEES COLLECTED
Single
O�
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTALf °6
I.���
PERMIT NUMBER
DATE
0.5* * 1 0,00
* 0. 0 q U;
* 1 0.00t1i
A * 0.0 ,0
258,5
10'-23'-80
6.479.
04* *7,00 -
*7.00
25a6e.
10-23-80
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOIVIES P,ERMIT.
11O'fh:2t !_8Oi 2'8,7,z *17,0.0:di
APPROVED FOR ISSUANCE _