1981, 02-25 Permit: 81A-1790 WoodstovePLAN NUMBER 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 ADDRESS1. /
1 + 70a> LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL'NUMBER/S
2.
OWNERPHONE �`
C
3.
_
�� I
ADDR SS i %
1 � v� I'
ZIP 199��)
0
Actual Set Backs in Feet
1 / v
v
North South
East West
CONTRACT
RPHONE
Size of Parcel
Zone Classification
4'
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE E
r'J NEW ❑ALT.
❑ RPL.
❑ MVE.
7.
OF 1:1 BLD. 1-1 PLMB.
,❑,/AD'N.
L7 MECH. ❑ M.H.
El OTHER ❑
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK �0
+I'„/11.-11111VI
Enum. Dist.
Location (Area)
FEES COLLECTED
8.
VALUATION I SOURCE GAS ELECTRIC WATER SEWEROwnership USE CODE
OF
9. UTILITIES Public ❑ Private ❑ Single $
1 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 pr um'e
to give authority to violate or cancel the provisions of any other state or local law regulating construction or th
performance of construction. SEP REVX#n SIDE FOR REQUIRED INSPE ION umbing
DATE OF APPLICATIO L SIGNATURE OF APPLICANT
SPECIAL APPRO ALS
NAME DATE
ning
Mar
neer
Utilities
Plans Examiner
AL CONDITIONS:
_ PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
PERMIT NUMBER
8 >14-
Mobile Home
Other (Specify)
-
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
02, 5�-'81 17902'
*IZ00°x0- -
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