1981, 10-08 Permit: 81B-433 WoodstovePLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
171 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ARESS Q /G , _ ,
V Jl lv✓1i�2/ LEGAL DESCRIPTION -SEE ATTACHED
1. f%
ZIP
LOT
2.
I BLOCK
ISUBDIVISIONPARCEL
NUMBER/S
OWNER RGQ I &j
3. N -TO
Oo A --?PHO
E 2- 3
ADDE2 > - 1a -7o � S)
Z;9
northal Set BackSout in Feet East
CONTRACTOR
PHONE
Size of Parcel
Zone Cla
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes [-]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor I Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE �,�
No. Baths
No. Stories
No. Rooms
No. of Dwelling
l(d"NEW ALT. ❑ AD'N. El RPL. ❑ MVE.
7, OFry11OTHER
1-1 BLD. 1-1E PLMB. MECH. ElM.H. [I POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESC IBE WORK/
� 0
Enum. Dist.
Location (Area)
FEES COLLECTED
$. C)o S' j'U �J r//
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USEIthis
9.
I UTILOITIES
Public El Private ❑Single
$
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions in
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governiBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does not pto
give authority to violate or cancel the provisions of any other state or local law regulating construction
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
G
Mech. 1-7
DATE OF APPLICATION / SIGNATURE OF APPLICANT
SPECIAL APPROVALS
SPtCIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
Buildin.)TechnLign PERMIT IS NONTRANSFERABLE
SEPA
/M 1PERMIT NUMBER
9 1 e; ._
G[1*1700
*1700_
u. * 0
6470,
Mobile Home
Other (Specify)
TOTAL $ 1
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
4 3. 3 z
*IZ00a�