1980, 11-06 Permit: 80B-3349 WoodstovePLAN NUMBER I APPLICATION/PERMIT
PERMIT NUMBER
J
- 33 1-19
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: OMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
G O � * 7, O 0
LEGAL DESCRIPTION — SEE ATTACHED
L T B K SUB ON PARCEL NUMBER/S
*7,00
2.
334,8�
R PHONE
1 1-06-80
3.
WD—DRESS ZIP Actual Set Backs in Feet
c6479,
r
G
J North South East West
C NTRACTOR 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 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
TYPENEW ALT. AD -N. RPL. MVE.
❑ ❑❑ ❑ ❑
% OF El OTHER
WORK ❑BLD. ElPLMB. EIMECH. 11M.H. ❑POOL CERTIFICATE Req'tl. Recd. Not Req'd.
of EXEMPTION
DESCRIBE W Enum. Dist. Location (Area)
FEES COLLECTED
8.
VALUATION SOURCE GAS ELECTRIC WATER SEWERUSE CODE
Ownership
9. UTILOITIES Public ❑Private ❑
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
DATE OF APPLICATION Vh,2 I�0 12:26 SIGNATURE OF APPLICANT xJ�CI Mech.
"
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE
lanning
ire Mars
o. Engir
s
Plans Examiner
SEPA Checklist
uilding Technician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ?-M
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
nnTAi-1 i 8 DCRAAIT rll3 3 49 :
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