1979, 10-24 Permit: 79-6595 WoodstovePLAN NUMBER APPLICATION/ PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE liJ 4 s `�
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
04* *7.00
J B ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
* 7, 0 0Iry n
* 7 O O v
LOT BLOCK
SU DIVISION
PARCEL NUMBER/S
2.
E *OOO U
OWNER
PHONE��ZG�
�`
�-
b59.4�
ADDRESS
ZIP
Required Set Backs in Feet
North South East West
10-24-79
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
.-
2 6.479.
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
--
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE El NEW El ALT. L1AD'N. 1:1 RPL. ❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7, OF El
CERTIFICATE
Req'd.
Recd.
Not Req'd.
11 BLD. 11PLMB. MECH: ❑ M. H. ❑POOL
WORK ,JQ
of EXEMPTION
DESCRIBE WORTS ,
FEES COLLECTED
8.1.
r • t�
4 2 L
VALUATION
ource
GAS
ELEC RIC
WATER
SEWER
of
9.
Utilities
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. Th granting of a p it does not presume
to give authority to violate or cancel the provisions of any other state o to al law regula g construction or the
Plumbing
performance of construction.
i4
J�% J
��'� SIGNATURE
DATE %�� '.�: '� ' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $_
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist ', i) THIS 1BECOMES A PERMIT.
��—�� {-7
7, ( I�
r
DAT`'``''�I�/�OFFICIALi�1.C�C��'Yc°./.,/j'G�^�-' 1 `i.
5 9.5 .' * /� U U I-