1980, 10-24 Permit M80B-2623 Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
PERMIT NUMBER
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HAR" TO MAKE 3 COPIES
JOB ADDRESS
L,
LO BLOCK SUB IVISION
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i ll.r t .L�it-1�UjyiL XX .
ADDRESS
CONTRACTOR` „6-ad
4./L�'
ADDRESS
_4 A'
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
O NEW
❑ BLD.
❑ ALT.
❑ PLMB.
PHONE
9dwL-/7
ZIP
%9.za6
PHONE
ZIP
PHONE
ZIP
TO
❑ AD N.
R. MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
LEGA-L. DE, CRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Fee
North South
Size of Parcel
Type Const.
Occupancy
East
Valuation
Main Floor
Upper Floors
Area of Decks
No. Baths
West
Zone Classification
Sprinklered
❑Yes DNo ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
No, Stories
CERTIFICATE
of EXEMPTION
Storage
Unfin_ Basement
No. Rooms
Req'd.
ESCRIBE W• RK
i
VALUATION
9.
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
Enum. Dist. I Location (Area)
Ownership
Public D Private ❑
USE CODE
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 INSPECTIO
DATE OF APPLICATION �G>' �2 rC�) SIGNATURE OF APPLICA
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
No. of Dwellings
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
7
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL de
04* *700
*7.00 17)
26222
10-24-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Buildin Te hnici
&
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
1)-24-8a
DATE ISSUED
2�62.35 *7,002
PERMIT NO. TOTAL