1980, 10-31 Permit: 80B-3051 WoodstovePLAN .VUMBER
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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
JOB ADDRESS
647/ z
LOT
BLOCK
-r7/
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
OWNER
%3.
43/94o cCO
PHONE
53-S- ?•biS""
PARCEL NUMBER/S
ADDRESS
ZIP
y9ZO7o
Actual Set Backs in Feet
North [South
East
)West
4.
5.
CONTRACTOR
Fe �Cl2�/
C oA,ST/?LiG,T/O/✓
PHONE
9Z8 -S36,0
Size of Parcel
Zone Classification
ADDRESS
5• /O7 "PiO//F%A../K
DESIGNER
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
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.
D PLMB.
.,/AD'N. ❑ RPL. 0 MVE.
734 MECH. 0 M.H. 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
8. Guex, O E3LI/t/1/ !Al e -
VALUATION
9.
Enum. Dist.
5rd L7c•
1 Location (Area)
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
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 or the
performance of construction. SEE REVERSE
,`SIDE FOR REQUIRED INSPECTIONS
<J
DATE OF APPLICATION/0 ? 0 SIGNATURE OF APPLICANT U''" -*-j
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Pians Examiner
SEPA Checklist
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 7-oa
ki.1PERNI{.T NUMBER
808 —305/
04* *7.00
*700
*7.006
A *0.00
305.02
10-31-80
2 6.479.
1—
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10-.317'80*7.00ag
DATE ISSUED
PERMIT NO. TOTAL
›—
CD YO
U
W
—J