1980, 11-14 Permit: 80B-3764 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
JB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
N PHONE
3. .x
DDRESS ZIP ' Actual Set Backs in Feet
/Cr North South East West
CO TRACTOR PHONE Size of Parcel Zone Classification
4' A DRESS ZIP Type Const. I 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 Dwelling
TYPE ❑NEW El ALT. 1:1 AD'N. 11 RPL. ❑ MVE.
7, OF r� C1 OTHER ❑BLD. El PLMB. "'C MECH. El M.H. ❑POOL CERTIFICATE Req'd.
WORK T
Req'd
of EXEMPTION
ESCRIBE WO K Enum. Dist. Location (Area)
{ d / FEES COLLECTED
8
VALUATION SOURCE AS ELECTRIC--[ WA R SEWER Ownership USE CODE
9. UTILOITIES Public El Private El 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 t
1 ' `� lea
nA-rC: nl: ADD[ irnTinn / %—ice — 't cif-MA71 Mr- nc ADD[ irAnir� t] to lT )11.1VV1 � 1� Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
neer
Utilities
Plans Examiner
SEPA Checklist
n,,7
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
Gly* *7UC
x,30
A C. 0
'7 Jam'
11-14- a
6479.
TOTAL $—
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
l`1#'.4-`80 37649
DATE ISSUED PERMIT NO.
#7.01J?0
TOTAL