1981, 08-10 Permit: M81A-7933 WoodstovePLAN 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 3 COPIES
JOB ADDRESS
It9z7 u.si—A
LOT
BLOCK SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
OWNER -` PHONE
3 ',Ages /27 > /E. - -vn�► 7'2V-c .314'E
ADDRESS ZIP
6-. Sv z-7 t Ta 9124,4
CONTRACTOR
SAt NI`.
4. ADDRESS
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
El' NEW
❑ BLD.
PHONE
PARCEL NUMBER /S
Actual Set Backs in Feet
North `South
East
ZIP
PHONE
ZIP
TO
❑ ALT. ,❑ AAD'N. ❑ RPL. ❑ MVE.
lGi
❑ PLMB. ' MECH. ❑ M.H. ❑ POOL
prOTHER
Size of Parcel
Type Const.
West
Zone Classification
Occupancy I Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Main Floo
Building Area in Sq. Ft.
Upper Floors 1 Garage Area
Storage
Area of Decks
No. Baths
DESCRIBE WORK
8. Ca2,f b PONT
ELECTRIC
VALUATION SOURCE
2 C OF
9. 3Sp � OF
GAS
WATER
Finished Basement
Unfin. Basement
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
SEWER
Ownership
Public ❑ Private ❑
Req'd.
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 r •ulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION g'"10 "-g( SIGNATURE OF APPLICA..1-
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
S5tr1>,_
Other (Specify) /O Xh
TOTAL
r�
PERMIT NUMBER
8tA — 733
04* *20.00
t /0\d *2Q00
7 ,,110/0,19 1914100
\M
08 -10 -81
2 6479.
04* * 1 7.00
* 1 7.00 0)
793.2
0'8 -10 -81
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.08 -7a
DATE ISSUED
8`1 7932 *17,0011-
PERMIT NO.