1980, 09-15 Permit: 80B-0245 WoodstovePLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
a
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
J L. —Jo
7 ;
JOBIUDR�ESS O�
LEGAL DESCRIPTION — SEE ATTACHED
1
7 C, 0 v
LOT
BLOCK
LOC
U
PARCEL NUMBER/S
2.
a
OWNER
PHONE
3.
DDDR
SS I JIr y�
�' p/
ZIP _
Actual Set Backs in Feet
t i V
North South East West
P, G
CONTR F3 _
PHONE
Size of Parcel
Zone Classification
-6 a % Q
4' ADDRESS
ZIP
Type ConsF1
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
—
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE NEW ❑ALT. ❑ N. ❑ RPL. ❑ MVE.
%, OF ❑OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
1:1 BLD. ❑ PLMB. LLL��JJJ MECH. 11M.H. El POOL
WORK
of EXEMPTION
I
DESC ISWORK
r�0
Enum. Dist.
Location (Area)
FEES COLLECTED
8
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTlLIT1ES Public C1 Private (3
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 of a permit does not presume Building
;
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 INSPECTIONS Plumbing
^} r
DATE OF APPLICATION " ' SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
vianning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
g echni n
PERMIT IS NONTRANSFERABLE
Mobile Home
Other (Specify)
�-0v
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
9' -►15' .' 245" *7.00°-I-