HomeMy WebLinkAbout1981, 10-29 Permit: 81B-1277 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
N. 3a,
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER
3.
ADDRESS
, CONTRACTOR
�✓-
6=1.Vvl C
4' ADDRESS
�Yri'1G
DESIGNER
PHONE
�? C7CQ3
ZIP
Clq, `.Z. x
Actual Set Backs in Feet
North (South
East
'West
PHONE
Size of Parcel
Zone Classification
5..ADDRESS
ZIP
Type Const.
Occupancy.
• Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
• Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
IJ NEW
0 BLD.
O ALT.
❑ PLMB.
❑ AD N. 0 RPL.
�MECH.
0 M.H.
❑ MVE.
o POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
PERMIT NUMBER
S 1 f3- 1277
04* * 1 7.00
* 17.00
* 17,006
A *0,00
1:27.68
1;0=29-8.1
g 6479.
DESCRIBE WORK
8. 1.A.�C2'53) t c, (2!V 4 N.) C�
VALUATION SOURCE
OF
9. UTILITIES
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Enum. Dist.
Location (Area)
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
DATE OF APPLICATION/A) ! a)2( SIGNATURE OF APPLICAN1
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B(ding Technician •
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. 4 t -t -00
Plan Check
SEPA.
Mobile Home
Other (Specify):
TOTAL
$ r?.C)c3
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
!' 4 i.
b �2I9
DATE ISSU D
1. .7;
PERMIT 1'4 7:7 Z
178U is