1981, 10-19 Permit: 81B-779 WoodstovePLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
/ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. r77, , 316 4L - ��� LEGAL DESCRIPTION —SEE ATTACHED
OWNER d
' C
3. ADLjFjESS SIO
CO NT FiAC
S -F
4
I /—W --
IP Actual Set Backs in Feet
22-d 41�1 North South East
PHONE Size of Parcel Zone
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes [:]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5. ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE NEW 11 ALT. ❑ 1jD N. ❑ RPL. ❑ MVE.
7, OF 1 ❑ OTHER
1-1 BLD. ❑ PLMB. LI MECH. ❑ M. H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DES
q
RIBE WORK
y1� ty ,
Enum. Dist.
Location (Area)
FEES COLLECTED
8 Y
OO
VALUATION
SOURCES
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
I UTILITIE
Public 1:1Private ❑
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
a rdinances governing this
Building
type of work will be complied with whether specified herein or not. The granting
am it does not r same
to give authority to violate or cancel the provisions of any other state or local law
egu ating on tru n or the
performance of construction. SEE REV RSE IDE FOR REQUIRED INSPECTION
lambing
nATF nF APPI IrATIn/V1N / SIGNATURE OF APPLIrAn1T
Mech. 1-_
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
neer
Utilities
Plans Examiner
11r u
SPECIAL CONDITIONS:
10
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1
' ` 7'7, 9 z
�0� -�.° g. 81' ,
*1z00!aa1,--
L