1981, 12-29 Permit: 81B-3030 WoodstovePLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT'S
NORTH 811 JEFFERSON / SPOKANE,_ WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL: DESCRIPTION — SEE ATTACHED
�• ' L
LOT I BLOCKJSUBUIVISIOI;�ItPARCEL NUMBER/S
2.
OWNER PHONE
3. X —0
ADDRESS
ZIP
Actual Set Backs in Feet
s
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
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 Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
Baths
No. Stories
No. Rooms
No. of Dwelling,
TYPENo.
NEW ❑ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7, OF J El OTHER
-1
BLD ❑ PLMB. }�J MECH. ❑ M.H. POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
s. Lj0t=>j>aCL9 S rt5
I
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
I UTILITIES
Public ❑ Private ❑
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances goverBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does not
to give authority to violate or cancel the provisions of any other state or local law regulating constructio
j
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
Mech..
DATE OF APPLICATIO SIGNATURE OF APPLICANT
7,00
3 0 [ 9 c
1-29-r1
6.479
SPECIAL APPROVALS SPECIAL CONDITIONS:61/
NAME DATE Plan Check
Env. Health
SEPA
i
Planning I
Fire Marshall Mobile Home '
i
Co. Engineer Other (Specify)
Utilities
Plans Examiner
(ding Technics
PERMIT IS NONTRANSFERABLE
DCQRAIT CVDIQCC MUC VCAR COMM nATC nC ISSIIAN!`C
TOTAL $ l_iZFt
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
nATC 9CCI'Cfl � � OCQIIAIT Aln
*17,OOa� -
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