1979, 11-29 Permit: M79-8492 WoodstovePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK
8 W ,,,/. /j��`,�/` /�K FEES COLLECTED
PERMIT NUMBER
DATE /!" :2�1—yq
04* *7.00
*7.00 N
849.1 9
11-29-79
;s 6.479.
VALUATION
,_ �---
9.
Source
of
Utilities
APPLICANT: COMPLETE NUMBERED SPACES — PRESS P aRD TO MAKE 4 COPIES
' ELECTRIC
JOB ADDRESS
SEWER
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
LEGAL DESCRIPTION — SEE ATTACHED
1.
ZLJ
/
to give authority to violate or cancel the provisions of any other sta c egulating construction or the
performance of construction. Plumbing
OT
BLOCK
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
NUMBER/S
2.
I
ISUt3uivibiuNPARCEL
Planning
Fire Marshall Mobile Home
O`{0(NER
Utilities
PHONE
Zone Clearance
k)
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA ChecklistTHIS BECOME ,`PE MIT.
;7
q„Z �i i� -7
3.
14W-)
ADDRESS
ZIP
Required Set Backs in Feet
nn
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
A DRESS
ZIP
Type Cons7
Occupancy
Sprinklered
Oyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No.
Floors
No. Rooms
Rec. Room
TYPE ❑ NEW
❑ ALT.
❑ AD -N. ❑ RPL.
❑ MVE.
7,
OF
❑ OTHER
❑ BLD.
❑ PLMB.
5Q MECH: ❑ M.H.
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
8 W ,,,/. /j��`,�/` /�K FEES COLLECTED
PERMIT NUMBER
DATE /!" :2�1—yq
04* *7.00
*7.00 N
849.1 9
11-29-79
;s 6.479.
VALUATION
,_ �---
9.
Source
of
Utilities
GAS
' ELECTRIC
WATER
SEWER
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 sta c egulating construction or the
performance of construction. Plumbing
/
DATE ��— 2 L7 —7:0 SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA ChecklistTHIS BECOME ,`PE MIT.
;7
8 4 9.2 z