1980, 11-14 Permit: 80B-3742 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 3 COPIES
JOB ADITRESS
j LEGAL DESCRIPTION — SEE ATTACHED
O ER PHONE
A DRESS ZIP Actual Set Backs in Feet
L);� ,Ld/ & North South East
C TRACTOR
PHONE
Size of Parcel
Zone Classification
4.
ADp
ZIP
Type Const.
Occupancy
Sprinklered
2RESS
'
❑Yes []No ❑ Req'd.
IX
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE ❑NEW ❑ALT. 1-1 AD'N. El RPL. El MVE. No. Baths No. Stories No. Rooms No. of Dwellings
7, OF ❑ OTHER
WORK ❑ BLD. 1-1PLMB. (� MECH. ElM.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
/DESCR BE RK Enum. Dist. Location (Area) FEES COLLECTED
8.
VALUATIOrf, SOURCE AS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑ Private ❑
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 local law gulatin construc ion or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTI Plumbing
DATE OF APPLICATION %f �''j� �d SIGNATURE OF APPLICANTS Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS: Plan Check
NAME DATE
vianning
Fire Marshall
Co. Engineer
lans Examiner
SEPA
Mobile Home
Other (Specify)
-
j '
TOTA L $ .�_
PERMIT NUMBER
04* *7,00
*7.00
*7.00
A *000
374, 1 22
1 1-1,4-80
z 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
iag eMchpcYan� ., PERMIT IS NONTRANSFERABLE 11� x.14._.8 0 3 % � 2 z * %� Q a H