1981, 09-30 Permit: 81B-0058 WoodstovePLAN NUMBER
ti
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
3. N r°+n? iC
ADDRESS
C-� Io4l,
CONTRACTOR
4. �w�E
ADDRESS
rte- kme
DESIGNER
r
PHONE
21P
ZIP
Actual Set Backs in
North Soy
PHONE
Size of Parcel
ZIP
Type Const.
C
PHONE
Valuation
Zone Classification
pancy Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
PERMIT NUMBER
J4* *17.00
U!
* 1 7,00
A
09-30-81
6.479.
ADDRESS
21P
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
% OF E] OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
❑ BLD. ❑ PLMB. P(MECH. ❑ M.H. [I POOL
WORK
of EXEMPTION
I
DESCRIBE WORK Enum. Dist. Location (Area)
s. ,a N rt,G 5Tzr.)oe
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private ❑
I I I
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
type of work will be complied with whether specified herein or not. The granting oVaptIrmi t does not presume Building
to give authority to violate or cancel the ovisions of any other state or local law rng constr tion or the
performance of construction. SE EVE E SIDE FOR REQUIRED INSPECTIONS
Plumbing
/
+C�
DATE OF APPLICATION SIGNATURE OF APPLICANT,,,Mech..,
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
Byj,ldiWechnician n PERMIT IS NONTRANSFERABLE '�'7j:—< �at 8 "11 'S 8 z *1-7-00'0'-1J`