1979, 08-22 Permit: 79-2629 WoodstovePLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT B CK SUBDI VISION I PARCEL NUMBER/S
2.
Orth South
East West
!e of Parcel
Zone Classification
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Building
OWNER
Occupancy
Sprinklered
PHONE
❑Yes ❑No ❑ Req'd.
iluation
Building Area in Sq. Ft.
DATE SIGNATURE"
Mech.
DWL Area
Basement Area
ADD ESS ,
Storage
Env. Health
ZIP
Split Entry
n
Rancher
Fire Marshall
Mobile Home
Co. Engineer
rfONTRAC OR '
No. Baths
No. Floors
No. Rooms
PHONE4. _
Zone Clearance
i
ADDRESS,.
WHEN MACHINE VALIDATED IN THIS SPACE,
CERTIFICATE
ZIP
I Rec'd.
j j /� /
t
.7
q,?,:7 Aj
DESIGNER
PHONE
5.
ADDRESS
ZIP
CHANGE OF USE FROM
T�—
TYPE❑ NEW ❑ ALT.
❑ AD'N.
❑ RPL.
❑ MVE.
7
❑ OTHER
ElBLD. 13PLMB.
ElMECH:
ElM.H.
❑ POOL
WORK
D SCRI E WO K
„
8.
?
quire(] set tracks In Feet
Orth South
East West
!e of Parcel
Zone Classification
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Building
Type Co7
Occupancy
Sprinklered
jTgra
/
performance of construction.
❑Yes ❑No ❑ Req'd.
iluation
Building Area in Sq. Ft.
DATE SIGNATURE"
Mech.
DWL Area
Basement Area
Garage Area
Storage
Env. Health
Split Entry
Split Level
Rancher
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
No. Baths
No. Floors
No. Rooms
Rec. Room
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
CERTIFICATE
Req'd.
I Rec'd.
Not Rec
of EXEMPTION
FEES COLLECTED
PERMIT NUMBER
04* *7.00
*7.00
*700
E *0.00
26282
08-22-79
;F 6,479.
VALUATION Source GAS ELE TRIC 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. ing of a permit does of presume
to give authority to violate or cancel the provisions of any other stateaw gula i' g c tion or the
jTgra
/
performance of construction.
Plumbing
9—ZZ
DATE SIGNATURE"
Mech.
SPECIAL
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist g^ �� �%%�}} J/� -�,
Baia'
THIS BECOMES A PERMIT. 7
_ 2 -7 9 L 6 2. 9 z * /. 0 0 I -
DATES 7�OFFICIAL { l,'^ d^ &,&
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