1979, 11-29 Permit: 79-8498 Wood StovePLAN 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
1. -7
LOT 1, 1/
CK' UBDIVISION
2.
" e`er" '
LEGAL DESCRIPTION — SEE ATTACHED
OWNER 74 /e Vl
3 ADDRESS
"1//' ' C6 4.rt
CDNTRACTOR�
4. 4 rytt
ADDRESS
�1_a
DESIGNER
5. ADDRESS
PHONE
9..'L'L —/(,/7
ZIP
PARCEL NUMBER /S
PHONE
Required Set Backs in Feet
North 'South
Size of Parcel Zone Classification
East
'West
ZIP
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area Garage Area
6.
CHANGE OF USE FROM
TO
Split Entry
Split Level
Storage
Rancher
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N. ❑ RPL. ❑ MVE.
IX MECH: ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.. Lv,_t^ `()
9.
VALUATION
Source
of
Utilities
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance of construction.
DATE / /"=-? 7 7
4 .C�2�C
ELEdTRIC
GAS
WATER
SEWER
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The granting of a permit does not presume
the provisions of any other state or local law regulating construction or the
SIGNATURE
SPECIAL APPROVALS
DEPT. REQ'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
REC'D.
Zone Clearance
SEPA Checklist
11 fl
SPECIAL C' DITI! S:
1i —d
DATE
OFFICIA
noponvrn FnR ICCIIANCF
• •11
•
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
s'' 7 '9,..
TOTAL $ 7
Qll
(PERMIT NUMBER
711- ,n's
DATE /1---:Z"7— 7'!
04* *7.00
*7.00
*7.008
E *000
849,78
11 -29 -79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 '1 -29 -7'9.
8.4 9.82 7.00aF
- , ,— 1"r
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH S. 1 JEFFERSON/ SPOKANE, WASHINGTON 99ge0 / MOB) a88 ..
APPLICANT: COMPLETE NUMBERED SPACES – PRESS HARD TO MAKE 4 COPIES
2
JOB ADDRESS
f /L‘Lll/ in0 kr/E
9.
LEGAL DESCRIPT11UR... SEE ATTACHED
OWNER
3, Q 2 - eaaktflt
4.N C: q.(. 'ec4_ a(
4. pp1 ess r4
D I NE
e. R
—/L /7
'? E� C
Required set Backs in Fee
Loin
er Par.
one C
IWe.t
IP
TYPe Con :t. I wn
PHONE
Valuation
Ov.. D ok1D R.o.e.
minding Area In Sp. Ft.
SIP
DWL Area
Ban ent Area
rage
TO
Sp 1
Split Level Rancher
TYPE 0 NEW 0 ALT. 0 AO'N. 0 RPL 0 MVE.
7. or WORK D OLO, 0 PLMB. [)ECH: 0 M.N. 0 POOL 0 OTHER
M
& V IN nfe •ac( L c q l
VALUATION rm r f AS E q
R WATER
B.
o. Room
Rec Roo
CERTIFICATE
of EXEMPTION
SEWER
I hereby certify that I have reed and examined this application and have read the "NU PILE_ fueled
on reverse side, and know the s me to be true and correct All provisions of laws and nrrhn.nrn.vl 90Ves ircg ll ,,
type of work will be complied with whether specified herein in rut. The grating of a p.m., does riot plexlme
to give authority to violate o r cancel the provisions of eny other state or local law intimidate construction u r me
performance of construction.
DATE L/-9- 75
DLIT
SPECIAL APPROVALS
REO.O. RECD
SIGNATURE l/y//1lIMllW�V,yy/fI ' 1 ` e
ffiECIALC CItlN dTI rySt
Env. Ho.
Plenninv
CO. Engineer
Unlit
Zone °emit e
CATE _..._ OFFICIAL i >/ 'I, it sL tZ
FEES COLLECTED
S' 91 S
Building
Plumbing
Mech. _z
Plan Cheek
'EPA
Mobile Home
Other (Speedy)
TOTAL '
HEN MACHINE PHI II
IS Rf I 4 P.
11-2 '9 -7,9
7q.,4/q3
04•
DATE 7'i
•7.00
•700
•700
E •QOO
20078
11 -29 -79
2 6479.
8l9.8:' +7.0020
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
DATE REMARKS:
TYPE OF WORK
FINAL INSPECTION: ij -(7- 1
g. //
7 -Sv
(-AL, 57(iiv-e lli5zAL 44 (2et.