1979, 11-15 Permit: 79-7931 WoodstovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPE I{i Ew ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7, OF 1El OTHER Req'd. Recd. Not Req'd
WORK ❑ BLD. ❑ PLMB. 1=YMECH: ❑ M.H. ❑POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORIJ
FEES COLLECTED
8. WOOD
VALUATION Source GAS ELECTRIC 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. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or al law regulating construction or the
performance of construction.
00
Plumbing ' 7�
DATE �- / SIGNATOR Mech. L�iXL—
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATEH". OFFICIAL
Plan Check
SEPA
Mobile Home
Other (Specify)
1700
TOTA L $ ?3a—
PERMIT NUMBER
-M--7q 31
DATE
Q Cl
�.
793.0
11-1r-??
647
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
1.
5• 3W-7
O
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
OWNER
PHONE
3
'
ADDRESS
ZIP
Required Set Backs in Feet
S - 300-7
-G 7p W6
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
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE I{i Ew ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7, OF 1El OTHER Req'd. Recd. Not Req'd
WORK ❑ BLD. ❑ PLMB. 1=YMECH: ❑ M.H. ❑POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORIJ
FEES COLLECTED
8. WOOD
VALUATION Source GAS ELECTRIC 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. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or al law regulating construction or the
performance of construction.
00
Plumbing ' 7�
DATE �- / SIGNATOR Mech. L�iXL—
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATEH". OFFICIAL
Plan Check
SEPA
Mobile Home
Other (Specify)
1700
TOTA L $ ?3a—
PERMIT NUMBER
-M--7q 31
DATE
Q Cl
�.
793.0
11-1r-??
647
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.