1981, 09-03 Permit: 81A-8876 WoodstovePLAIN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509145636]5
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Joer, 15s LEGAL DESCRIPTION —SEE ATTACHED
1 S In -1p
Actual Set Backs In
PERMIT N V MBER
❑yes LINO ❑ Req'tl.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5
_
ADDRESS
ZIP
Main Floor I
Upper Floors
I Garage Area Storage
CHANGE OF USE FROM
TO
Area o1 Decks Finished Basement
Umin. Basement
6.
No. Baths
No. 510,11,
NO. ROOmS
NO. Or Dwellings
TYPE NEW El ALT. C1 AD -N. ❑RPL. 11 MVE.
I
7, OF ❑OTHER
CERTIFICATE
Req'd
Rec'E.
Not Req'd.
BLD. El PCMB. MECH. C3 M.H. 13 POOL
WORK
of EXEMPTION
DESOKS
Enum. Dist.
Location (Area)
FEES COLLECTED
g,
VALVATION 50VRCE GAS ELECTRIC WATER SEWER ownersnlp DEC CODE
9. UTI�ITI ES Public OPr Nate
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 presume
to give authority to violate or cancel the provisions of any other stale or local law regulating co t cfion or the
performance of constru bn. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
Plumbing
r
h
GATE OF APPLICATION SIGNATURE OF APPLICANT
Much. '
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Hea Rn
SEPA
PlallI ng
Mobile Home
Fire Marshall
Co. Engineer
Other lSpeaifyl
Lola—
7
TOTAL $
Pian. e.am�e1,
IN THIS SPACE,
WHEN MACHINE VALIDATED
sEPnc 1ckust
THIS BECOMES A PERMIT.
ai g ee PERMIT IS NONTRANSFERABLE
0970 jL8 1
8 8 7.6 i * 1 2 8 0 8
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. 0I,%I