1979, 12-05 Permit: 79-8678 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
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
L T
BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER
3.
A DRESS
CONTRACTOR
t
ADDRESS
DESIGNER
r
— ADDRESS
CHANGE OF USE FROM ITO
6.
PHONE
ZIP
ZIP
PHONE
ZIP
I yrt U NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
OF
7 WORK 13 BLD ❑ PLMB. �MECH: ElM.H. ❑ POOL ❑OTHER
Required Set Backs in Feet
FEES COLLECTED
Single $
North"` South
East West
Size of Parcel
Zone Classification
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Type Const.
Occupancy
Sprinklered
Plumbing
I
Dyes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
SPECIAL APPROVALS SPEC IA ` ONDITIONS:
DWL Area
Basement Area
Garage Area
Storage
SEPA
Planning
Split Entry
Split Level
Rancher
Co. Engineer
Other (Specify)
Utilities
No. Baths
No. Floors
No. Rooms
I Rec. Room
WHEN MACHINE VALIDAI
SEPA Checklist �,c _ ` _
THIS A�PERMIT.
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
DESCRIBE WORK
, ell >
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
FEES COLLECTED
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 regy ting construction or the
performance of construction.
Plumbing
� (\/
<- r.
DATE — I SIGNATURE �( `L4� Y„ CT1 i�
4
71
-2 ftt�
Mech.
SPECIAL APPROVALS SPEC IA ` ONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDAI
SEPA Checklist �,c _ ` _
THIS A�PERMIT.
/ 1 /!/I/� y)� J/!
�•[.�Yiw1f-�
1BECOMES
2 O 5''—; / 9
DATE __ _ OFFICIALS/ `'1 �.�L�✓'^''a'
IL
-`
PERMIT NUMBER
DATE
U4* *7.00
*7.00
869.7
12-05-79
;R 6.479,
6 9.81 * 7 7.a 0 °�--