1979, 12-28 Permit: 79-9582 WoodstovePLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB A RESS h
JV`1 L ��� _ LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLIUCK ISUBDIVISION I PARCEL NUMBER/S
8 .V& FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. 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 ocal law regulating construction or the
performance of construction. Plumbing
✓DATE 1 "� - 2 a �'7 X SIGNATURE Lr) r,�z" 0
Mech.
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE%�./-'A L__!_"Z OFFICIAL
Plan Check
SEPA
Mobile Home
Other (Specify)
M PERMIT NUMBeR,,,
DATE
TOTAL $
WHEN MACHINE VALIDATED
THIS BECOMES A PERMIT.
' � r
•7 1 f',
l * * , v ,_,
y `r
95Fx1d
12-28-79
6&7
i SPACE,
NER
PHONE
ADDRESS
ZIP
Required Set Backs in Feet
/
,20
'
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
DWL Area
Basement Area
Garage Area
1.
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE El NEW
1-1 ALT.
1:1AD'N. El RPL.
ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
1:1BLD. ElPLMB. [3MECH: ElM.H. 11POOL
WORK
I
of EXEMPTION
DESCRIBE ORK
8 .V& FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. 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 ocal law regulating construction or the
performance of construction. Plumbing
✓DATE 1 "� - 2 a �'7 X SIGNATURE Lr) r,�z" 0
Mech.
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE%�./-'A L__!_"Z OFFICIAL
Plan Check
SEPA
Mobile Home
Other (Specify)
M PERMIT NUMBeR,,,
DATE
TOTAL $
WHEN MACHINE VALIDATED
THIS BECOMES A PERMIT.
' � r
•7 1 f',
l * * , v ,_,
y `r
95Fx1d
12-28-79
6&7
i SPACE,