1980, 10-29 Permit: 80B-2871 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
J B ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
1.
LOT BLOCK IbUBUIVISIOWPARCEL NUMBER/S
2.
OW—N ER PHONE
3.17 4
A DRESS
ZIP
Actual Set Backs in Feet
dor
North South
East West
C TR C OR
PHONE
Size of Parcel
Zone Classification
4.
AbDRESS
ZIP
Type Coni7
Occupancy
Sprinklered
I -
❑Yes ❑No ❑ Req'd.
DtSIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor I Upper
Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. 11 RPL. 1:1 MVE.
Baths
No. Stories
No. Rooms
No. of Dwellings
7 OF 11 OTHER
1:1 BLD. ❑ PLMB. k, MECH. ElM.H. 1:1 POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
I
SCRIBE WO
Enum. Dist.
Location (Area)
8
FEES COLLECTED
VALUATION
SOURCE
G S
ELECTRIC WAT R
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public ElPrivate ❑
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. SEEREVERSESIDE FOR REQUIRED INSPECTIONS/—)
Plumbing
ADDI Ir'ARInNI /7J .�. '� ./7 c1(`nlnTlIOL nc A-1 In _
M h I �40
IrIATC!lC
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
nning
eMa r
neer
Utilities
Plans Examiner
SEPA Checklist
Buill4ing Techni�ian�
J, �J a _w
PERMIT IS NONTRANSFERABLE
ec .
Plan Check
SEPA
Mobile Home
Other (Specify)
-
TOTAL $
'ev IPERMIT NUMBER
X4l3--.29 ;1/
t+* *7,GQ
i 6-29-80
64;0
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1O' 29z-1�8 28210 *7,'0.0aP