1980, 09-17 Pemrit: 80B-0352 WoodstovePLAN NUMBER
F a
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
1.
2.
3.
4.
JOB ADDRESS
• VA
LOT B C SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
OJ60-NJ VLH I LT
ADESS6
1? & VP\
CO b
fZE
Z� /9 2 n
PHONE
PARCEL NUMBER/S
Actual Set Backs in Feet
North !South
East 'West
Size of Parcel 1 Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation (Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
PK EW 0 ALT.
0 PLMB.
0 BLD.
0 AD N.
0 RPL.
MECH. 0 M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
8.
DEkODBE 2ORK
2OV
9.
VALUATION
SOURCE
OF
UTILITIES
Enum. Dist.
Location (Area)
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
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
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
DATE OF APPLICATION% /7, ! 5 e00 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
!ding Tom( is . n
SPECIAL CONDITIONS:
C./
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
r 00
TOTAL $
PERMIT NUMBER
04* *7.00
*7.00 17)
*7,00,5
A *000
35.12
09-17-80
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t9141-'1 n
DATE ISSUED
13, 5, 2'.z
PERMIT NO.
r 2o
TOTAL