1980, 10-03 Permit: 80B-1412 WoodstovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
Q�- 14 1Z
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
I-� LEGAL DESCRIPTION - SEE ATTACHED
0 4 * * 7.0 0
1. 4f• %//Z/ .[ eq/v
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
7.00 N
I
*
2.
OWNER PHONE
* 7, 0 0 6
3, iv 7 `sow zG 88r 3
A * 0 0 0CD
ADDRESS ZIP Actual Set Backs in Feet
`.
46. ///Z / �[/�/'31✓ 9-71eU� North South East West
1 4 1, 1 2
CONTRACTOR PHONE Size of Parcel Zone Classification
10-03-80
ADDRESS ZIP Type Const. Occupancy
Sprinklered
6.479.
❑Yes ❑No 1-1 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
6.
TYPE �/ No. Baths No. Stories
P'J NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Rooms No. of Dwellings
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL CERTIFICATE
Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
8. G%O7o.0 ' t riP�J�.Ri! S lv JC
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES Public El Private ❑
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
L/0SIGNATURE
DATE OF APPLICATION OF APPLICANT
Mech.�'
SPECIAL APPROVALS SPECIAL CONDITIONS: 16
NAME DATE
Plan Check
Env. Health
SEPA
a
Planning
O
V
Fire Marshall
Mobile Home
w
--r
U—
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE
I, ;---0 3( --� 0
4 l 2' * % 0 0 2 --1'
'a i_ 0-* Io PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. TOTAL