1980, 04-07 Permit: M80-3156 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
1.
2.
3
JOB ADDRESS
S. 35/0
LOT
BLOCK
• BATES ROAD
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
C 4'hRLE P-- CATO
PHONE
428=7785f -
PARCEL NUMBER/S
ADDRESS
s.
3n0 BATES tOM
ZIP
89206
Actual Set Backs in Feet
North !South East 'West
4.
CONTRACTOR
SAME i
PHONE
Size of Parcel 1 Zone Classification
ADDRESS
ZIP
TypeConst.
Occupancy
Sprinklered
Dyes ONo 0 Req'd.
5.
DESIGNER
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf In. Basement
TYPE
7. OF
WORK
CJ NEW 0 ALT. 0 ADSN. 0 RPL. D MVE.
Y1M
0 BLD. 0 PLMB. ECH. 0 M.H. ❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. Wool $-TOV[= INS'T'f11-A1101s4
VALUATION SOURCE GAS
OF
9. UTILITIES
Enum. Dist.
Location (Area)
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
I hereby certify that 1 have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of Taws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or e
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
5/ -1 -go (
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
'.'NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
PERMIT IS. NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single Sik$
Building
Plumbing
17* Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
M
PERMIT NUMBER
to -3S5-6
04* *7.00
*7.00 N
31 5.5�
04-07-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
,!4;e •:01q.1_ aI 0,
DATE ISSUED
3115„65 *7.002_ -
PERMIT NO. TOTAL