1980, 12-17 Permit: 80B-4983 WoodstoveNUMBER 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 ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
2.
3. OW�) �i PHON
r1AE
i�'f
ADDRESS ZO� V � �� �� Actual Set Backs in Feet
North South East West
CONTRACTQR PHONE Size of Parcel Zone Classification
4. ADDRESS �G ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area I Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE INo. Baths No. Stories No. Rooms No. of Dwelling
62 -' NEW El ALT. ,❑,AD'N. El RPL. ❑ MVE.
% WORK 1:1 BLD. ElPLMB. Ifd/MECH. ❑ M.H. El ❑OTHER CERTIFICATE Req'd. I Recd. Not Req'd
of EXEMPTION
DESCR BE WORK Enum. Dist. Location (Area)
8 0621!% j� j�i FEES COLLECTED
VALUATION SOURCE - `� GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public El Private ❑
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 local law regulating construction or the
performance of construction. SEE RREV
EERSE SIDE FOR REQUIRED INSPECTIONS
\ Plumbing
r1ATF r1F APPI ICATIr1N 12-17-9'6 SI(:NIATI IRF ()G A P P I I(N()
`A
T. 1' , 1.0Z/ Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
t7
TOTAL $7,
PERMIT NUMBER
04* *7.00
7 1^ ( s
*7000
A* Q
4982
12-17-80
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.