1980, 09-30 Permit: 80B-1134 WoodstoveR APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
.y LO I—BLOCK1 ISUBOIVISION V� PARCEL NUr;^BER/S ,
�. 1 J LGcCf
OWN R PI SONE3.
ADDRESS
} , ! ) `.a (i Y LI
ZIP
' /' j �) /�i
Actual Set Backs in Feet
North South
East West
CONTRACTOR
PHONE
E
ZIP
Size of Parcel
Zone Classification
Garage Area
Storage
CHANGE OF USE FROM
TO
4' ADDRESS
Finished Basement
ZIP
6.
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
No. Rooms
PHONE
TYPERPL.
❑ NEW ❑ ALT.
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPERPL.
❑ NEW ❑ ALT.
❑ AD'N. ❑
❑ MVE.
7, OF
,�//
U OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum Dist Location (Area)
8.
FEES COLLECTED
VALUATION I SOURCE G S ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public Elva ❑
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 regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 9/.79/90 SIGNATURE OF APPLICANT t r r 4e, Mech.
i
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
c
SPECIAL CONDITIONS:
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
11 -I
X701?
f,l!0 1
*7.00
A
11 J.3
09-30-80 L 4 /, n
4'
n . 7 7,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
I
Iding Technician PERMIT IS NONTRANSFERABLE 0 19.1.1310 -g 0, 1 .y 3 4 � * 7 0'0 o �—, —