1980, 10-28 Permit: 80B-2776 WoodstovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARR,ITO MAKE 3 COPIES
1.
2.
3
JOB ADDRESS
O 9 D
LOCKLOT K
LEGAL DESCRIPTION - SEE ATTACHED
S U B
0 NE
1112_4/1, ./.41-114-)
PHONE
PARCEL NUMBER/S
DRESS p/
�.f qgC) :[ 1124 g/iCH2,G/ ����LZL
CONTRACTOR
4. 1,Zu -
AD RESS
�2 LLQ.
DESIGNER
5.
ADDRESS
ZIP
PHONE
Actual Set Backs in Feet
North 'South LEast 'West
Size of Parcel 1 Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes No ❑ Req'd.
PHONE
Valuation (Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
'l MECH.
❑ RPL.
❑ M.H.
❑ MVE.
0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK _
Enum. Dist.
Location (Area) 1
9.
VALUA ION SOURCE GAS
OF
UTILITIES
ELECTRIC
WA'FER
SEWER
Ownersh ip
Public ❑ Private ❑
USE CODE
I ereby certify that I have read and examined this application and have read the "NOTICE" provisions included
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
e of work will be complied with whether specified herein or not. The granting of a permit does not presume
ive authority to violate or cancel the provisions of any other state or local law regulating const;uction or the
ormance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIOISS
DATE OF APPLICATION 4:9 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
1 Buil mg Tech cian iy
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
417 Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
7/ ii/
TOTAL $° ��-'-
PERMIT NUMBER
*7.00
*7.00 N
277.5
10-28-80
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 0 —2 g 0
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
277,62
PERMIT NO.
*7.•0'0 a�
TOTAL