1981, 11-09 Permit: 81B-1599 WoodstovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK Enum. Dist. Location (Area)
8 �j� p- `C C FEES COLLECTED
VALUATIONSOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES 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 INSPECTIONS Plumbing
DATE OF APPLICATION -� l21 SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
neer
Utilities
Plans Examiner
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
'r-1g1L3
04* *17,00
X17, 0
* 1 7,00
CD
A *0.00
159,8
1 1 --09--81
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ng Technician PERMIT IS NONTRANSFERABLE 1 °�.-0 9 - 8 l 15 9.'9 Z * 17 °a -.
� e— !]�.. .
G APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION —SEE ATTACHED
JOB ADDRESS
N 3ZZ�� _ >✓S
LOT
BLOCK
PARCEL NUMBER/S
2.
I
ISUBDIVISION
OWNER
PHONE
3.+Sita-c�
S_ 2'0\6
ADDRESS
ZIP
Actual Set Backs in Feet
a -o zl--
01
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
5' Aw, cr
❑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.
Baths
No, Stories
No. Rooms
No. of Dwellings
TYPENo.
KNEW ❑ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
7,
OF
❑ BLD. ❑ PLMB. MECH. ❑ M.H.
❑ OTHER
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK Enum. Dist. Location (Area)
8 �j� p- `C C FEES COLLECTED
VALUATIONSOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES 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 INSPECTIONS Plumbing
DATE OF APPLICATION -� l21 SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
neer
Utilities
Plans Examiner
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
'r-1g1L3
04* *17,00
X17, 0
* 1 7,00
CD
A *0.00
159,8
1 1 --09--81
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ng Technician PERMIT IS NONTRANSFERABLE 1 °�.-0 9 - 8 l 15 9.'9 Z * 17 °a -.
� e— !]�.. .