1979, 12-12 Permit: 79-9004 WoodstovePLAN NUMBER - APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
DESCRIBE WORK„ FEESCOLLECTED
8.
VALUATION Source GAS ELECTRIC WATER SEWER
of
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 C- la gulating construction or the
Plumbing
performance of construction.
DATE % �� - SIGNATURE ,f%!
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities TOTAL $
Zone Clearance �I
ecklist
J;,/—_/ _7, 9 e 17 THIS BECOMES A PERMIT.
PERMIT NUMBER
9 D rJ'�
DATE Z-�2—'"/-Z-7%
7 CG.5
12-12-79
r 6479.
A
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION —SEE ATTACHED
1
-1 jg
� �✓
r
LOT
BLOCK
PARCEL NUMBER/S
2.
I
ISUBDIVISION
OWNER
.
PHONE
�//�, �'
IZ —
3.
ADDRESS
ZIP
Required Set Backs in Feet
y
North South East West
C NTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Consq
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
OWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE ❑NEW
❑ALT. ❑ AD'N.
❑ RPL. ❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ BLD.
❑ PLMS. X MECH:
❑ OTHER
ElM.H. 1:1 POO L
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK„ FEESCOLLECTED
8.
VALUATION Source GAS ELECTRIC WATER SEWER
of
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 C- la gulating construction or the
Plumbing
performance of construction.
DATE % �� - SIGNATURE ,f%!
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities TOTAL $
Zone Clearance �I
ecklist
J;,/—_/ _7, 9 e 17 THIS BECOMES A PERMIT.
PERMIT NUMBER
9 D rJ'�
DATE Z-�2—'"/-Z-7%
7 CG.5
12-12-79
r 6479.
A