1980, 09-10 Permit: 80-9948 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 ADDRESS
1. ',/
tOT BLOCK
2.
5UBbI\)I510N
GAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
OWNER �r
�A/
DRESS
/41/11-1
'! 5zit G�tiLz . amu
CONTRACTOR
4.
ADDRESS
DESIGNER
5' ADDRESS
PHONE
ZIP
191 Ci&
Actual Set Backs in Feet
North 'South [East (West
PHONE
Size of Parcel
Zone Classification
ZI P
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZI P
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
O PLMB.
❑ AD'N.
kr MECH.
❑ RPL.
❑ M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Vii, : [."i /71
VALUATION
GAS
9.
SOURCE
OF
UTILITIES
et4L 1 -Le
ELECTRIC
WATHR
SEWER
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private ❑
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 cif the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION `?._/Li _ (317,-/) SIGNATURE OF APPLICANT -Y''
SPECIAL APPROVALS SPECIAL CONDITIONS: �.
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician;'?
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
7"
PERMIT NUMBER
04* *7,00
*7,00 t7)
994,72
09-10-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'0 9 14I 0 -,8,01
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
99482
PERMIT NO.
*7.00a.H
TOTAL