1980, 12-02 Permit: 80B-4372 WoodstoveAPPLICATION/ PERMIT
PERMIT NUMBER
-� 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
LEGAL DESCRIPTION - SEE ATTACHED
7 � CI
LOT BLOCKISUBU-1VISION PARCEL NUMBER/S
2. I
°y
�' U
OWNER PHONE
3. M AJALO w 6o L5B(ffV zq 9
ADDRESS ZIP Actual Set Backs in Feet
1 1 FSI R �E 'S North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
—'BAi
—Oc:— 0
4.
ADDRESS ZIP Type Const. Occupancy Sprinklered
4 7 9
�l� Dyes ❑No ElReq'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
s.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE[!?(
NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OFEl OTHER
-1 BLD. ❑ PLMB. MECH. ❑ M.H. El CERTIFICATE Req'd. Recd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
8 I T'O
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF 9. UTILITIES Public ❑Private CI Single $
I I
1 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
DATE OF APPLICATION/ ^ � - 5� SIGNATURE OF APPLICAN Mech. tal00
SPECIAL APPROVALS SPECIAL CONDITIONS:
`a
NAME DATE Plan Check
Env. Health
SEPA
Planning
Co. Engineer
Utilities
Plans Examiner
Building Technician ` PERMIT IS NONTRANSFERABLE
} 1Z PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1.21'. 0 Z. -18b, 4'3'7, 2 9
DATE ISSUED PERMIT 0.
NO.
* 7.0 0 0.IJ-
TOTA