1980, 09-26 Permit: 80B-921 WoodstovePLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
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%
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
i,
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
NUMBER/S
2. I
ISUBDIVISIOrfPARCEL
lGt.'
O E
PHONE
4
y
3.
ADDRESS
ZIP
Actual Set Backs in Feet
e)7
7,r e)l
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4. ADDRESS
ZIP
Type Const.
Sprinklered
[—'Occupancy
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
-
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
FStorage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
El BLD. ❑ PLMB. K MECH. ❑ M. H. 1-1 POOL
WORK
of EXEMPTION
I
DESCRIB WO Enum. Dist. Location (Area)
FEES COLLECTED
8 '
VALUATIOIaI SOURCE GAS ELECT IC WATER SEWER
GJ Ownership USE CODE
(%® UTILOITIES Public ❑Private
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included li
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
"'' Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT _7
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buying jec"iciann
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0. l "
*17.00°rj -