HomeMy WebLinkAbout1981, 10-27 Permit: 81B-1184 WoodstoveNUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
u APPLICANT: COMPLETE NUMBERED SPACES - PRF -..SS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. j S, MA9-CuS COLA j21" LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK IbUBDIVISION PARCEL NUMBER/S
OWNER
PHONE
3 J I M lft M U fill PSO
` 2Z— S
ADDRESSS'
ZIP
Actual Set Backs in Feet
A n / C.v
. h>cus -W
'7103-7
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
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.
NEW 1:1 ALT. RPL. MVE.
TYPE❑OTHER
❑,/AD'N.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7, OF 1-1 BLD. PLMB. LTMECH. M. H. POOL
,J 1-1❑
El
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
s. Wool? sZt> INs-r&tJ-^T1oNI
FEES COLLECTED
LA
VAUTION SOURCEGAS
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" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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 INSPECTIONS
Plumbing
^1t,�
2
7
DATE OF APPLICATION �V t ' toll SIGNATURE OF APPLICANT _
Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
Planning
Fire Marshall
Co. Engineer
s Examiner
SPECIAL CONDITIONS:
Plan Check
SEPA
PERMIT NUMBER
N% via -IIFl-
Ci. 1 7, iJ 0
17r_i0 Xr
[A
11'.3.'
1 27-'1
1. 4 9,
Mobile Home
13sup- od
Other (Specify)on
TOTAL $�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
r4
Building Technician I PERMIT IS NONTRANSFERABLE 1*01..',-i1'7-'-'81 118, 4 z *1 7.0 o a FJ-