1979, 10-01 Permit: 79-4991 WoodstovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
N i9- L -
DATE /0—/ — 7 7
04* *7.00
*7.00 n
499.0
10-01-79
y 6,479,
VALUATION
9,
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
GAS
JOB ADDRESS
6
WATER
SEWER
Single $
LEGAL DESCRIPTION - SEE ATTACHED
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 regulating construction or the
LOT
BLOCK
DATE / 0-1-717 SIGNATURE IJ,YC GI//� � 7
PARCEL NUMBER/S
2.
SPECIAL APPROVALS SPECIAL CONDITIONS:
I
ISUBDIVISION
Env. Health
SEPA
OWNER
Planning
PHONE
Fire Marshall
i��� N A11L
0
92',- -L
3.
Zone Clearance
IN THIS SPA,:.,V,
WHEN MACHINE VALIDATED
SEPA Checklist THIS BECOMES A PERMIT.
ADDRES
i
"�l�S� 1. i - �1 j- - 't "
1
ZIP
Required Set Backs in Feet
/ZIP
0 V
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ON .❑ 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
s.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE 1-1NEW El ALT.
1:1AD'N. ❑ RPL.
1-1MVE.
7,
OF
❑ OTHER
❑ BLD. ❑ PLMB.
A MECH: ❑ M. H.
❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
FEES COLLECTED
8
S r
PERMIT NUMBER
N i9- L -
DATE /0—/ — 7 7
04* *7.00
*7.00 n
499.0
10-01-79
y 6,479,
VALUATION
9,
Source
1 utiliofties
GAS
ELECTRIC
WATER
SEWER
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 regulating construction or the
performance of construction. Plumbing
DATE / 0-1-717 SIGNATURE IJ,YC GI//� � 7
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
IN THIS SPA,:.,V,
WHEN MACHINE VALIDATED
SEPA Checklist THIS BECOMES A PERMIT.
r, r� ��5
i
"�l�S� 1. i - �1 j- - 't "
1
DATE/d-/-7? OFFICIAL _._ _ _