1979, 10-29 Permit: 79-6887 WoodstovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
VALUATION
APPLICANT: COMPLETE NUMBERED SPACES —
PRFSS HARD TO MAKE 4 COPIES
JOB ADDRESS
WATER
LEGAL DESCRIPTION — SEE ATTACHED
1
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
OWNiVVwY
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
3.
performance of construction.
Plumbing
00
ADDRESS � �
r
If/�;
�� I V �o
SPECIAL APPROVALS
Z P
&
Required Set Backs in Feet
/J
Plan Check
Env. Health
North South East West
CONTTR'gCT
1I
R _
SEPA
PHONE
Size of Parcel
Zone Classification
4'
Mobile Home
Fire Marshall
Other (Specify)
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ 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
6.
TYPE NEW
❑ ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7. OF
❑ BLD.
,�,//''
❑ PLMB. L�J'MECH: ❑ M.H.
❑ OTHER
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
8 DES 0 ��oRK
IN
FEES COLLECTED
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
9.
of
Utilities
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
00
DATE SIGNATUR l G
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE" FFICI
TOTAL $
WHEN MACHINE VALIDAI
THIS BECOMES A PERMIT.
DATE
PERMIT NUMBER
.7�' _66�
04 *7,00
*7.00
*7,00U
B *Q00 n
6886
10-29-79
;R 6479,
IS SPACE,
8, 7
*7,r;,�