1979, 12-20 Permit: 79-9370 WoodstovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
M PERMIT NUMBER
>7
DATE 71
*7,iln
q _D
6 79.
VALUATION
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
I ELECTRIC
JOB ADDRESS
SEWER
9.
of
Utilities
LEGAL DESCRIPTION — SEE ATTACHED
T Dq
LO
BLOCK
S
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
PARCEL NUMBER/S
2.
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
O MER
performance of construction. Y
Plumbing
PHONE
DATE SIGNATURE-' e—'
3.
Mech.—
7 -
SPECIAL APPROVALS
SPECIAL CONDITIONS:
ADDRESS
DEPT. REQ'D. RECD.
ZIP
Required Set Backs in Feet
Env. Health
North South East West
C NTRACTOR -
Planning
PHONE
Size of Parcel
Zone Classification
4'
Mobile Home
Fire Marshall
Other (Specify)
AD RESS
Co. Engineer
ZIP
Type ConsFj
Occupancy
Sprinklered
444d t '
TOTAL $
Zone Clearance
❑Yes ❑No El Req'd.
DESIGNER
WHEN MACHINE VALIDATED IN
Checklist
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 0NEW El ALT.
1:1AD'N. El RPL.
11MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
\ 7,
OF
❑ OTHER
❑ BLD. ❑ PLMB.
MECH: ❑ M. H.
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
8
-
FEES COLLECTED
M PERMIT NUMBER
>7
DATE 71
*7,iln
q _D
6 79.
VALUATION
Source
GAS
I ELECTRIC
WATER
SEWER
9.
of
Utilities
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. Y
Plumbing
DATE SIGNATURE-' e—'
Mech.—
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
6
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN
Checklist
Az- .nFFI(
THIS BECOMES A PERMIT.
12 -2. 0.- l '
IAI./���x
i SPACE,
7 1 *7.J+;,2�