1980, 09-23 Permit: 80B-696 WoodstoveNUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
.r APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
DR
JOB ADDRESS
Finished Basement
Unfin. Basement
s.
! 7 --.GAL DESCRIPTION — SEE ATTACHED
1. r32/
/�!/��ca•r/
, /
LOT
BLOCK
No. Rooms
No. of Dwellings
TYPE lYJ NEW ❑ALT. 171 AWN. El RPL. El MVE.
NUMBER/S
2.•
I
ISuBDIVISIONPARCEL
OWNER
Req'd.
Recd.
PHONE
❑ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL
WORK
3 /GC C',09
loOe-t
I
ZZ -23S
DESCRIBE WORK Enum. Dist. Location (Area)
ADDRESS
ZIP
OF
9. UTILITIES Public ❑Private ❑
I I I
Actual Set Backs in Feet
45. 13ZiV
i'J%or4e—a/'1
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
04:.
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
North South
East West
CONTRACTOR
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
PHONE
Plumbing
Size of Parcel
Zone Classification
�-
h. A2 n:2
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
1510"C
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
I
, /
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE lYJ NEW ❑ALT. 171 AWN. El RPL. El MVE.
7. OF ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
❑ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL
WORK
of EXEMPTION
I
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private ❑
I I I
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 INSPECTION
Plumbing
�-
h. A2 n:2
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE I Plan Check
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
ByA,�dingTechnician ---- PERMIT IS NONTRANSFERABLE
C�/l) le,� In - -- - - - - - - --- - -- -- --
SEPA
Mobile Home
Other (Specify)
TOTAL $ '), on
// IPERMIT NUMBER
003 — 6CV.
v4* *7.0
*7,n; -
*7.00
Q S s
09-23-80
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
x 7. 00°-�' -