1979, 11-09 Permit: 79-7556 WoodstovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
M1PERMIT NUMBER
4 _' IJ
DATE
C) *7.00
k7.OG
755,5
11-p9-79
zi 6479.
VALUATION Sourck GASELECTRIC =R SEWER
of
9, 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
g� n
DATE SIGNAftJR . Mech.
'I I
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities ff
TOTAL $ `
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.01
nATF
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS'
'\\D�, �� -
LEGAL DESCRIPTION -SEE ATTACHED
,h-��
v
LOT
BLOCK
SUBDIVISION
J
PARCEL NUMBER/S
2.
I
OWNE '�� ' --.
PHONE
ADDRESS` _
\n\
Z`IIPP(
Required Set Backs in Feet
North South
East West
CONT ACTOR
PHONE
Size of Parcel
Zone Classification
4.
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 AreT
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE El NEW ❑ALT.
❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
%,
OF
1-1 OTHER
L1BLD. E)PLMB.
ElMECH: ElM.H. ElPOOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
8
�,,v
FEES COLLECTED
M1PERMIT NUMBER
4 _' IJ
DATE
C) *7.00
k7.OG
755,5
11-p9-79
zi 6479.
VALUATION Sourck GASELECTRIC =R SEWER
of
9, 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
g� n
DATE SIGNAftJR . Mech.
'I I
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities ff
TOTAL $ `
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.01
nATF