HomeMy WebLinkAbout1981, 02-18 Permit: 81A-1581 WoodstovePLAN NUMBER -7 - APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT SIR . 1,5'31
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APP Li C
JOB ADDRESS
1. �L
LOT B OCI
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3,COPIES
LEGAL DESCRIPTION --SEE ATTACHED
PARCEL NUMBER/S
2.
OWNER
PHONE
3:
ADDRESS
ZIIP.
Actual Set Backs in Feet
L 114aZ
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type 'Cons t.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5"
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE' NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7• OF ❑ OTHER
WORK EJBLD. ElPLMB. 4 MECH. 1-1M.H. 1-1POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
of EXEMPTION
DESCRIBE WORK
Enum• Dist. Location (Area)
8. W no,02 iA.L2IN' 12 IN PcF_
FEES COLLECTED
VALUATION
I SOURCE
GAS
ELECTRIC
WATER
SEWER
OwnershipF
USE.CODE
9.
UTILOITIESI
Public ❑ Private ❑
I
Single $
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
Building
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
Plumbing
Z" ' /45 -6L
DATE OF APPLICATION SIGNATURE OF APPLICANT
ech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health _
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
ician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0'4`* * 1 7.0.0
*17.00
* 1 7.0.06
A *00.0 n
158,'02
02-"18-8,1.
z 6479.
Plan Check
SEPACL
0
LLj
Mobile Home
Other (Specify).
TOTAL $ 06
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
I
115 8;'llz' * 1'7.010 a -
DATE ISSUED PERMIT NO. TOTAL