1980, 03-13 Permit: 80-2190 WoodstovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
DATE
7
21r9r.
o
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
ADDRESS
7, OF ❑OTHER
❑ BLD. ❑ PLMB. X MECH: ElM.H. 1:1POOL
JB
LEGAL DESCRIPTION — SEE ATTACHED
CERTIFICATE
Req'd.
Recd.
Not Req'd.
LOT
BLOCK
SUBDIVISION
I
PARCEL NUMBER/S
2.
D SCRIBE W K
I
8
FEES COLLECTED
VALUATION Source GAS
NER
WATER
SEWER
of
9. Utilities
-H�f
r 7,
3.
7 IO
!O
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
ADDRESS
ZIP
Required Set Backs in Feet
38z..4
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
Plumbing
DATE —I.3 — 6 D SIGNATURE ^
North South East West
C NTRACTOR
Mech.
PHONE
Size of Parcel
Zone Classification
DEPT. REQ'D. RECD.
Plan Check
Env. Health
4.
SEPA
Planning
_
Fire Marshall
ADD ESS
ZIP
Type Const.
Occupancy
Sprinklered
X%1
It, Z;Izz
q-?Ze '7
Zone Clearance
[]Yes ❑No ❑ Req'd.
DESIGNER
WHEN MACHINE VALIDATED
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.
No. Baths
No. Floors
No. Rooms
Rec. Room
PERMIT NUMBER
DATE
7
21r9r.
o
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑OTHER
❑ BLD. ❑ PLMB. X MECH: ElM.H. 1:1POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
D SCRIBE W K
8
FEES COLLECTED
VALUATION Source GAS
ELECTRIC
WATER
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
DATE —I.3 — 6 D SIGNATURE ^
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
_
Fire Marshall
Mobile Home
Co. Engineer
Other(Specify)
Utilities
X%1
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist -ice- e��.�
THIS. ,OMES A PERMIT.
L�I=C.3—d31—�;0
l9.0�13*7.Cs02