1980, 07-08 Permit: 80-6813 WoodstovePLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
I81SPOKANE COUNTY - SJILQMG CODES DEPARTMENT D -�"
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPE y�
Ll NEW El ALT. 1:1 AD'N. I—] RPL. El MVE.
7 OF 11
❑BLD. ❑ PLMB. (� MECH. ❑ M.H. ❑POOL OTHER
No. Baths
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
CERTIFICATE
JOB ADDRESS
Recd.
Not Req'd.
WORK
of EXEMPTION
r '
LEGAL DESCRIPTION — SEE ATTACHED
1.
VALUATION SOURCE 5 ELECTRIC WAT R SEWER Ownership USE CODE
OF Public ❑ Private ❑
9. __-.. UTILITIES
Single
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
LOT
B K
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
NUMBER/S
2.
Plumbing
I
IS4u—BbIVISIONPARCEL
SPECIAL APPROVALSI SPECIAL CONDITIONS:
OWNER.
Plan Check
PHONE
ADDRESS
ZIP
Actual Set Backs in Feet
7 ✓0
f ,
North South East West
ONTRACTOR
PHONE
Size of Parcel
Zone Classification
4'
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE y�
Ll NEW El ALT. 1:1 AD'N. I—] RPL. El MVE.
7 OF 11
❑BLD. ❑ PLMB. (� MECH. ❑ M.H. ❑POOL OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
D CRIBE WORK Enum. Dist, Location (Area)
FEES COLLECTED
8. I a 1-
VALUATION SOURCE 5 ELECTRIC WAT R SEWER Ownership USE CODE
OF Public ❑ Private ❑
9. __-.. UTILITIES
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
—9— '��� �� Mech.
DATE OF APPLICATION ,Z i) SIGNATURE OF APPLICANT �
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE
Plan Check
viannmg
Fire Marshall
Co. Enqineer
ans Examiner
ec
PERMIT IS NONTRANSFERABLE
PFRMIT FXPIRFC (INF VFAR FRDM DATF (1F ISSUANCF
SEPA
Mobile Home
�4* *7,00
*7,00 U
681.2
07-08-80
6,479,
Other (Specify)
TOTAL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
a�,-08:-8'0 681,326
nATF ISSI iGn DCDnAIT Kin
*7.00,0°.
-rnTA 1
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