1980, 04-11 Permit: 80-3401 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
JOB ADDRESS
�, I, -A -7 1i �gA�gi6 �- LEGAL DESCRIPTION —SEE ATTACHED
1.
OWNER
3 ---1 C
ADDR.E
V .
CONTRAC
P- v
/►/ F
'0`V
Actual Set Backs in Feet
North South East
PHONE Size of Parcel Zone Cla
4. ADDRESS
ZIP
Type Const.Occupancy
Sprinklered
❑Yes []No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5' ADDRESS
ZIP
Main Floor I Upper
Floors
Garage Ar;T
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPENo.
❑
Baths
No. Stories
No. Rooms
No. of Dwellings
NEW ❑ALT. ❑ AD'N. ❑ RPL. MVE.
7, OF_ ❑ OTHER
El BLD. El&/ PLMB. MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8 aWU
VALUAE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
ES
Public ❑ 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 INSPECTI NS
Plumbing
/ "" �L
7,00
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALSI
SPECIAL CONDITIONS:
NAME DATE
Plan Check
lealth
PERMIT NUMBER
�6 — .314;1es /
04* *7.00
*7.00
*7.006
E *0.00
3400
04-11-80
;2 6479.
SEPA y
a
ng CC
Mobile Home U.
larshall —'
LLL
ngineerI Other (Specify)
Utilities
?tans Examiner
SEPA Checklist
Buil aNp g Te n
PERMIT IS NONTRANSFERABLE
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
*7.Ouar -