HomeMy WebLinkAbout1979, 11-05 Permit: 79-7310 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 4 COPIES
1.
2.
3
JOB ADDRESS
LOT
403 EBo7so ,WE
L LEGAL DESCRIPTION — SEE ATTACHED
OWNER
E49101N FOss
ADDRESS
03 g-. 7TH AVE/ sPoyAr
CONTRACTOR
4' ADDRESS
PHONE
5-3 L -V-O 34
ZI P
CN 7n6
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South 1East (West
PHONE
Size of Parcel I Zone Classification
ZI P
Type Const.
Occupancy
Sprinklered
Eyes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation 1Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7, OF
WORK
gNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. 42iMECH; ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. WOOD .STUV -
VALUATION
9. r� 079 ��XX
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 regul t ng ,nstruction or the
performance of construction.
/i/ „5. -TA Ll..../rTioAI
Source
Utilities
GAS
ELECTRIC
WATER
SEWER
DATE
/1- 5 72
SIGNATURE
-7s-c-- C
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE 11 3379 OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single S
Building
Plumbing
C
Mech. 7 G
Plan Check
SEPA
Mobile Home
Other (Specify)
17U
TOTAL S
N1
PERMIT NUMBER
7- 73/0
DATE lI-S SI%
B
730,93
11-05-79
2 6,479.
*7.00
*7.00 1,71
*7.008
*0,00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'1105:?9 7Y1,02
1*7,00°r