1981, 06-11 Permit: 81A-5846 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 �DDRESSii LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SU ISIO PARCEL NUMBER/S
OWNER
Type Const.
PHONE
3 V+
3.
I
❑Yes ❑N .❑ Req'd.
ADD
ESS � �
� �
PHONE
�P �
�
Actual Set Backs in Feet
5'
✓v' V
North South East
CONTRACT RR
ZIP
Main Floor Upper
PHONE
I
Size of Parcel
Zone
—
y
TO
Area of Decks
Finished Basement
Unfin. Basement
4
6.
PERMIT NUME;ER
/&I I 15�k 1584
tt�* *17.00
? F
*17001
4.
OCA-11-fi1
474.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑N .❑ 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.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE ^v w ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF 11 OTHER
1:3 BLD. ❑ PLMB. I/MECH. ❑ M.H. El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESC
1BBE WORK���
00
Enum. Dist.
Location (Area)
FEES COLLECTED
8 W
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9,
I UTILOITIES
Public []Private ❑
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
�l�Vle 1�, � SIGNATURE OF
Mech.
DATE OF APPLICATIO APPLICANT
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
I�
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
euiing Tecian
PERMIT IS NONTRANSFERABLE
584625
* 17.0'.0-°a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED PERMIT NO.
TOTAL