1980, 04-14 PErmit: 80-3468 WoodstovePLAN NUMBER
No. Rooms No. of Dwellings
APPLICATION/PERMIT
7, OF1:1OTHER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
El BLD. ❑ PLMB. MECH. C1M.H. 11 POOL CERTIFICATE
Req'd. Recd. Not Req'd.
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
1.6.iES
OF Public ❑ Private ❑
9. UTILITIES
I
Single $
1� �Gs
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
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
PARCEL NUMBER/S
2.
I
r 1
ISUBDIVISION
DATE OF APPLICATIONQVIGNATURE OF APPLICANT
Mach. _�_
OWNER
NAME DATE
3.
Env. Health
SEPA
AD E$
Fire Marshall
>
Set Backs in Feet
ActuI�1
Other (Specify)
Utilities
rJ
Northal
South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
0 -4'7 j 4 — ,0
Buil ing T chniclan PERMIT IS NONTRANSFERABLE
It
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 I
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
PERMIT NUMBER
'/0 — —04--6 O
04* *7,00
*7.00
3467-R
04-14-80
6474.
� No. Baths No. Stories
No. Rooms No. of Dwellings
TYPE t NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7, OF1:1OTHER
El BLD. ❑ PLMB. MECH. C1M.H. 11 POOL CERTIFICATE
Req'd. Recd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 jY_rl (t/7n
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑ Private ❑
9. UTILITIES
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
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 INSPECTIONS
Plumbing
r 1
�'�'%!
DATE OF APPLICATIONQVIGNATURE OF APPLICANT
Mach. _�_
SPECIAL APPROVALe SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
0 -4'7 j 4 — ,0
Buil ing T chniclan PERMIT IS NONTRANSFERABLE
It