1979, 10-12 Permit: 79-5871 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 4 COPIES
JOB ADDRESS
/�) 33I 6 14,' / I'M 2b LEGAL DESCRIPTION —SEE ATTACHED
DESCRIBE WORK �_ FEES COLLECTED
s. 6,,) d L) -�5 O
VALUATION Source GAS ELECTRIC WATER jee
Of
Q, Utilities
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provis
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances gBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does
to give authority to violate or cancel the provisions of any other state or local law regulating constrperform%annce of construction.Plumbing
DATE )0 /a--)9 SIGNATURE �Vl _Mech. 00
SPECIAL APPROVALS SPECIAL CONDITIONS:
f]FPT_ RFrYr1. RFC'rl I Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATl32-/Z-/ &FICIAL.)gZ
nnnnrn mn rnn 1nn1 n ni nr
SEPA
Mobile Home
Other (Specify)/9
TOTAL $7690
PERMIT NUMBER
M ,` 71
DATE /U r"2- — —169
p4* *7.00
*7.00
WHEN MACHINE VALIDATED IN THI
THIS BECOMES A PERMIT.
10'-12`-7 y
587.02
10-12-79
;? 6.479,
SPACE,
5$7;1 *7.000-
OWNER
o2Vl
PH N2-3
3.
`J ,c)
RESS
ZIP
Required Set Backs in Feet
KAD
%
3 3 ��
t![-
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
DDRE
ZIP
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split
Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE ❑ NEW ❑ ALT.
❑ AWN. ❑ RPL.
❑ MVE.
7,
OF
❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
ElBLD. 1-1PLMB.AECH: ❑ M. H. ❑POOL
WORK
of EXEMPTION
I
DESCRIBE WORK �_ FEES COLLECTED
s. 6,,) d L) -�5 O
VALUATION Source GAS ELECTRIC WATER jee
Of
Q, Utilities
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provis
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances gBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does
to give authority to violate or cancel the provisions of any other state or local law regulating constrperform%annce of construction.Plumbing
DATE )0 /a--)9 SIGNATURE �Vl _Mech. 00
SPECIAL APPROVALS SPECIAL CONDITIONS:
f]FPT_ RFrYr1. RFC'rl I Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATl32-/Z-/ &FICIAL.)gZ
nnnnrn mn rnn 1nn1 n ni nr
SEPA
Mobile Home
Other (Specify)/9
TOTAL $7690
PERMIT NUMBER
M ,` 71
DATE /U r"2- — —169
p4* *7.00
*7.00
WHEN MACHINE VALIDATED IN THI
THIS BECOMES A PERMIT.
10'-12`-7 y
587.02
10-12-79
;? 6.479,
SPACE,
5$7;1 *7.000-