1980, 06-05 Permit: 80-5427 WoodstovePLAN NUMBER APPLICATION/ PERMIT PERM T NUIMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 5
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADD ESS
Ig -7iZ4. � .I' � LEGAL DESCRIPTION -SEE ATTACHED
OWNER
3. K—) IF
AI
CON
4. ADDRESS
DESIGNER
ISI
ONE
ZIP
–75
Upper Floors
O
Actual Set E
CHANGE OF USE FROM
North
PHONE
Size of Parcel
Basement
Unfin. Basement
ZIP
Type Cons
PHONE
Valuation
in Fq
outh
Zone Classification
pancy I Sprinklered
Dyes ❑No ❑ Req'd.
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished
Basement
Unfin. Basement
6.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OF ❑OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
❑BLD. ❑ PLMB. MECH. ❑ M.H. ❑POOL
WORK
of EXEMPTION
I
DESCRI E WORK
Enum. Dist.
Location (Area)
$. ND O b of
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑ Private El9. UTILITIES
I I
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
^
DATE OF APPLICATION � S � SIGNATURE OF APPLICANT �
Mech. 7
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
Plans Examiner
SEPA Checklist
ing
_Tpfrni ian PERMIT IS NONTRANSFERABLE
�—
C4* *700
7,^00
*TC0
E
5426Z"
06-05-80
6.479,
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0-05 80 5'42.7