1981, 01-26 Permit: 81A-808 WoodstoveNUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE NEW ❑ALT. El AD'N. El RPL. El MVE.
7, OF El OTHER
11 BLD. ❑ PLMB. MECH. ❑ M.H. POOL
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
Joe ADDRESS
CERTIFICATE
Req'd.
LEGAL DESCRIPTION — SEE ATTACHED
,. E, iIgZ3
rA%avt�w
of EXEMPTION
LOT
BLOCK
UB I I I N
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
PARCEL NUMBER/S
2.
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
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
OWNER
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
PHONE
Mech.
VLF $u51i
SPECIAL APPROVALS V SPECIAL CONDITIONS:
CIMS Z5—C41
NAME DATE
3.
Env. Health
SEPA
ADDRESS
Fire Marshall
ZIP'��—�
Actual Set Backs in Feet
5— IlA?3
3pAdYVIEW
,�
002-_Jfi
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4. ADDRESS
ZIP ZIP
Type Const.
Occupancy
Sprinklered
SAME
I
I
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
Upper Floors I
Garage Area
Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE NEW ❑ALT. El AD'N. El RPL. El MVE.
7, OF El OTHER
11 BLD. ❑ PLMB. MECH. ❑ M.H. POOL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK Enum. Dist, Location (Area) FEES COLLECTED
8• I,L)mDf3utZNtiNG �iDvlE
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public El Pr❑
I
Single $
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
Building
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
Plumbing
1
oCJm--,-jfL— n ' &4,zi
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS V SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
Plans Examiner
Technician PERMIT IS NONTRANSFERABLE
TOTAL $ 11 DD
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
PERMIT NUMBER
61A_sob
(:)4* *1700
A
* 17.00
A * O. J 1 m
8 0, 7
6.479.
E,
01,7 Zi 6- 8 '1' 8 a 8 z * I' O O T IJ-