1980, 01-10 Permit: 80-50 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 4 COPIES
J B ADDRESS _ �,
1. ,�• �' LEGAL DESCRIPTION — SEE ATTACHED
LO L CK IbUIBIDIV15ION I PARCEL NUMBER/S
OVKIy E R
3 A DA DR
CONTRACTOR
4. pct .: 1.>,, cc
ADDRESS
DESIGNER,
�' ADDRESS
CHANGE OF USE FROM ITO
6.
PHONE
Y.
ZIP Required Set Backs in
t
G�. North Soul
PHONE Size of Parcel Zone Classification
ZIP
PHONE
ZIP
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 WORK ElBLD. ❑ PLMB. MECH: ❑ M.H. 11POOL ElOTHER
IN
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
aluation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Re(
DF -SCRIBE WORK
S. �!l ,.; x ;L "� � 4 -1. G`- �.'• ! L a ,.. ;:% a FEES COLLECTED
VALUATION Aource GAS ELMCTRIC WATER SEWER
of
9. Utilities 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_Sate-m)local law regulating construction or the
`,performance of construction. _ - Plumbing
DATE — L� �'�> SIGNATURE- C��
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. IY ,1 Plan Check
Env. Health e� -A `�?� 7
`� %/� �� %_/ r7 SEPA
Planning ��r/l"v� ��i�'"s�`'' �!/1"�+�✓�
Fire Marshall •Gvt2 Mobile Home
Co. Engineer Other (Specify)
PERMIT NUMBER
cA(_I
DATE?
04* *7.00
*7.00
499
01 —1 01-80
2 6479,
Utilities _/
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist_ THIS BECOMES A PERMIT.
DATE—fG OFFICIAL/ ! ,�i.,2-i•i/N✓' 0 11,o '� O 5. Z
*7,00°1