1981, 11-12 Permit: 81B-1753 WoodstovePLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E • 13G2* MALL001) LEGAL DkSCRIPTION —SEE ATTACHED
LOT BLOCK SU I ION e 1 PARCEL NUMBER/S
z. �7 Ix /
OIXNER
3. l) •
DRESS
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CRA OR
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4. ADDRESS
DESIGNER
5. ADDRESS
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/ S
PHONEzip
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PHONE
ZIP
PHONE
MG
Actual Set Backs in Feet
Baths
North South
East West
Size of Parcel
Zone Classification
Req'd.
Recd.
Type Const.
Occupancy
Sprinklered
I
Dyes ❑No 11 Req'd.
Valuation
Building Area in Sq. Ft.
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
Main Floor
I Upper Floors
I Garage Area
I Storage
CHANGE OF USE FROM ITO I Area of Decks I Finished Basement I Unfin. Basement
6.
TYPENo.
Cd❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OFOTHER
1:1BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL
Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
8 �
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 11 Private ❑
Single $
I 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 n presume
to give authority to violate or cancel the provisions of any other state or local law regulating constr ion or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATIO SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Pianning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Mobile Home
Other (Specify)
TOTAL $ 1 -7, C'
-y� PERMIT NUMBER
/„ I I-713
11 C{-* *170
* 1 700
R * r,
152
11-12-81
64 79
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
k. g
g��chniciln �� PERMIT IS NONTRANSFERABLE 175. 3 zFJ-