HomeMy WebLinkAbout1981, 10-28 Permit: 81B-1243 WoodstovePLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TR MAKE 3 COPIES
JOB ADDRESS
-IV-2 Vk• - - _ _. _ LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVI!
2.
OWNER _
3. WL1r�`=3d
PHONE
Ol2Cc
ADDRESS
ZIP
Actual Set Backs in Feet
{ i—y--t:- �.�'
/�
'q<:� 7'$
North South East West
CONTRACTOR
PHONE
I
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
!aA0&.-
❑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
6.
Baths
No. Stories
No. Rooms
No. of Dwelling
TYPENo.
NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑OTHER
], OF 1:1BLD.
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK 1:1V PLMB. MECH. ElM.H. 1:1POOL
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
8. U --M-0 cAP-"w.�c�
FEES COLLECTED
VALUATION SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
OF
9. UTILITIES
I
Public ❑ Private ❑
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisi ns in
luded
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances —erni
g this
Building
type of work will be complied with whether specified herein or not. The granting of a permit do not resume
to give authority to violate or cancel the provisions of any other state or local law regulating con ruc ' n or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTI/O,J
Plumbing
nATF r1F APPI IrATInn1�/ L0 -2-V —V [ QIr:NOTI IRF!lC ADD[ ]rAnl / /lbl>b"� �l�/-
Mech. 1'
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
Plans Examiner
mg I ecnnlclan
PERMIT IS NONTRANSFERABLE
PERMIT NUMBER
n. p_* *17.1)0
A ' i 10 io
1 2 4.
i —28-81
6479
TOTAL $ 1'7•6t-�)
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
X'0'' .2 a 8�`l� 12�4�3 z
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