1980, 07-15 Permit: 80-7108 WoodstoveNUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
r NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
LOT I BLOCK
OWNER
3.�
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
'j LEGAL DESCRIPTION — SEE ATTACHED
SUBDI ION
tlai46'r'ri/ 1 ��ls 9 �? PARCEL NUMBER/S
PHONE
ADDRESS
ZIP
Actual Set Backs in Feet
��
�l ��.*�-��
NorthSouth
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4. AD' RESS
ZIP
Type Const.
Occupancy
Sprinklered
a
❑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
s.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE 11 NEW Cl ALT. 11 AD'N. 13 RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. ,IK MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
DEC RIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION1 SOURCES
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
OF UTILITIE
9.
Public EI Private ❑
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 the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION,
Plumbing
fIATC hC ADDI If ATI()AI '` ���1 Z CI (= AI ATI IDC r)r ADDI IPA rd -r- i /
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bui)ymg Tec 1"iicianf .�
,/y
7
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
-
TOTAL
PERMIT NUMBER
04* *7.00
* • 0 0 L
71 C,7z
07-15-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-,-1 5 0 7.1 0,8 0 0 °