1980, 12-15 Permit: 80B-4854 WoodstovePLAN NUMBER APPLICATION/PERMITPERMIT
NUMBER
I S
SPOKANE COUNTY — BUILDING CODES DEPARTMENTIN
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
'7 0 0
1 4 *
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
N OE2AL
1n
LOT BLOCK PARCEL NUMBER/S
ISUBDIVISION
2. I
*7,OQY
OWNER PHONE
* G. L C
3. P1 K- Co -5
ADDRESS ZIP Actual Set Backs in Feet
4 8 5 3 0
%IemAc- qqr– x3 North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
1 L — 1 5 — P Q
4.
6479,
ADDRESS ZIP Type Conq Occupancy Sprinklered
❑Yes ❑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
6.
No. Baths No. Stories No. Rooms No, of Dwellings
TYPENEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ^/ ❑OTHER
' ❑ BLD. 1:1PLMB. V MECH, ElM,H. El POOL CERTIFICATE Req'd. Recd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
COLLECTED
8X17 ��� v Ce—FEES
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public El Private ❑
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 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
�v Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT o'er .
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env, Health
SEPA
Planning
O
Mobile Home
J
Fire Marshall
t%
Co. Engineer Other (Specify)
Utilities
TOTAL $
examiner
' WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
\
\ iician PERMIT IS NONTRANSFERABLE 1 +� i '��$ b
4' S 14 z' * � O O � IJ-
\ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO, TOTAL