1980, 10-03 Permit: 80B-1416 WoodstoveAPPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OF
11 BLD. C1PLMB. AMECH. C1M.H. El POOL El OTHER
_ APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
No. of Dwellings
JOB ADDRESS
CERTIFICATE
Req'd.
LEGAL DESCRIPTION — SEE ATTACHED
Not Req'd.
WORK
of EXEMPTION
I
L T
' BLO
Enum. Dist. Location (Area)
8
PARCEL NUMBER/S
VALUATION1 SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. 1UTILITIES1 I I
1SUBi3iVI5IUFj,,
1
2.
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
type of work will be complied with whether specified herein or not. The granting a permit does not resum Building
to give authority to violate or cancel the provisions of any other state or local la,
a
ER
PHONE
i
Plumbing
�J
kIJ
DATE OF APPLICATION D '"'��'��/ SIGNATURE OF APPLICANT
Mech. 2..
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
ADDRESS I
7
ZIP
Actual Set Backs in Feet
Planning
o�
P
r
Fire Marshall
Mobile Home
Co. Engineer
a[ L/
fJT�
North South East West
Utilities
CO2
O TRACTOR
PHONE
Size of Parcel
Zone Classification
4.
A
WHEN MACHINE VALIDATED IN
SEPA Checklist
THIS BECOMES A PERMIT.
AD RESS
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.
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OF
11 BLD. C1PLMB. AMECH. C1M.H. El POOL El OTHER
Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
ESCRIBE RK
Enum. Dist. Location (Area)
8
FEES COLLECTED
VALUATION1 SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. 1UTILITIES1 I I
Public C3 Private 1:31
1
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
type of work will be complied with whether specified herein or not. The granting a permit does not resum Building
to give authority to violate or cancel the provisions of any other state or local la,
a
rristn
egulating c ructi or t
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
i
Plumbing
�J
kIJ
DATE OF APPLICATION D '"'��'��/ SIGNATURE OF APPLICANT
Mech. 2..
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL
Plans Examiner
WHEN MACHINE VALIDATED IN
SEPA Checklist
THIS BECOMES A PERMIT.
Bui}tiing'rechVician'p PERMIT IS NONTRANSFERABLE
.�,.
ti IPERMIT NUMBER
vZ3
6 a r 0
E,
141.6'`-' *7.U0`,'.