1981, 10-27 Permit: 81B-1168 WoodstovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
_ -7 (� �. �� 0 LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK SUBuivibiuN PARCEL NUMBER/S
2.
OWNER PHONE
3 iN,J O o i2e 7.lo-- 00—.),
Co. Engineer I Other (Specify)
Utilities
Plans Examiner
ng Technician
PERMIT IS NONTRANSFERABLE
TOTAL $ 0 -cc
PERMIT NUMBER
016- l ( foo
Oil* *1'.00
* 1 j ,1
* 1 7,006"
A *0.00
1167
10-27-81
6,474.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
7**` 8 '1 1,16825
*IZ000P -
ADDRESS
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑ Private ❑
9. UTILITIES I
ZIP
Actual Set Backs in Feet
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
CAI 1, Z
+�!-(� "N o"
n.
ami' .r.r.1�
North South
East West
Plumbing
CONTRACTOR
Mech.
DATE OF APPLICATION " SIGNATURE OF AP (CANT
PHONE
Size of Parcel
Zone Classification
Plan Check
S~^C
SEPA
Planning
Fire Marshall
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
C'+YL4c
Dyes ❑No E3Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
I Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
NEW
❑ALT.
❑ AD -N. ❑ RPL.
❑ MVE.
7,
OF
-1 BLD.
❑ PLMB.
_/
MECH. ❑ M.H.
El OTHER
❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
Co. Engineer I Other (Specify)
Utilities
Plans Examiner
ng Technician
PERMIT IS NONTRANSFERABLE
TOTAL $ 0 -cc
PERMIT NUMBER
016- l ( foo
Oil* *1'.00
* 1 j ,1
* 1 7,006"
A *0.00
1167
10-27-81
6,474.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
7**` 8 '1 1,16825
*IZ000P -
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑ Private ❑
9. UTILITIES I
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 construc n. SEERREjVE 0SE SIDE FOR REQUIRED INS NS
Plumbing
R+
1�2
Mech.
DATE OF APPLICATION " SIGNATURE OF AP (CANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer I Other (Specify)
Utilities
Plans Examiner
ng Technician
PERMIT IS NONTRANSFERABLE
TOTAL $ 0 -cc
PERMIT NUMBER
016- l ( foo
Oil* *1'.00
* 1 j ,1
* 1 7,006"
A *0.00
1167
10-27-81
6,474.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
7**` 8 '1 1,16825
*IZ000P -