1980, 08-13 Permit: 80-8474 WoodstoveNUMBER
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
JOB ADDRESS
1. /V. /&0 (iIR191?40 LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
OWNER
3. e' �V
ADDRESS
/V. //-,
CONTRAC'
A
R
Li9h'/BE�So it/
PHONE
9zr/-5'&'19
ZIP Actual Set Backs in Feet
49ZaC North South East
PHONE Size of Parcel Zone Classifi
111 PERMIT NUMBER
ao -8y-Iy
04* *7.00
*7.00
847.38
08-13-80
2 6,479,
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
S/9/VC
Dyes ❑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.
TYPE NEW El ALT. 11 AD'N. I-] RPL. MVE.
❑
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
CERTIFICATE i
Req'd.
I Recd.
Not Req'd.
WORK ❑ BLD. ❑ PLMB. MECH. ❑ M. H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 1'1/6oD r�N/ry -T
FEES COLLECTED
VALUATIONJ SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES Public ❑Private F-1
Single $
I 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 INSPECTIIOONSS%��
Plumbing
C)o
DATE OF APPLICATION SIGNATURE OF APPLICANT` ' ' "
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
�J
TOTAL $ /'Cc)
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE.�
3; J S�. O 4 �, z,
,1
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED PERMIT Nn
O
t
*7.00OCL P'
TnTAI
0
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