1981, 08-28 Permit: 81A-8662 WoodstovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U-1 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
t � � \�� LEGAL DESCRIPTION —SEE ATTACHED
LOT K SUBDIVISION PARCEL NUMBER/S
2.J4 'JUA40,6—
NER PHONE
3. DWL 4 44- ell, 1 w��
ADDRCESS
ZIP
Actual Set Backs in Feet
C
-1J,olli �-- . J i
IR
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
�+
�i6--a-HIR
\ cam► ci'v,.!
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER N
PHONE
Valuation
Building Area in Sq. Ft.
5' ADDRESS
ZIP
Main Floor
I 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 Dwellings
TYPE '�J NEW ❑ ALT.ZECH.
D'N. ❑ RPL. ❑ MVE.�
7. OF `.,If�X& TIER
WORK ❑ BLD. ElPLMB. ❑ M. H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8• ns�kx W O v!.r FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. OQ UTILITE
OF IS Public F-1Private❑
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.
`SEE REVERSE SIDE FOR REQUIRED INSPECTIIONNS/ (( Plumbing
1y� ^,
�0
nATC nC ADDI 1(ATInA1 A////
SPECI)%L APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
I y,Xlclan 1
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 11,
PERMIT NUMBER
04* *17.000
* 1 7.00U
A *C00
08-G8-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
8,,x,2 9„.,81 86622
*1ZOOa�
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