1979, 11-19 Permit: 79-8098 WoodstovePLANNtSIOBER
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
JOB ADDRESS
1. J % o2J� LEGAL DESCRIPTION -SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2.
DESCRIBE WORK
8 FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities 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 state or local law regulating construction or the
performance of
construction. Plumbing
DATE//—/I--7 ? 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
SEPA Checklist
11 -11? -7
DATE O 9
FFICIAL
ennnnvrn rnn IccllnMnr
PERMIT NUMBER
d
DATE
G4* *7.00
*7.00 !7)
*7.001
E *000 00
809.7
11-19-79
;@ 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 '1'-'19 '-7, 9 Q 0 9.8 z
.47.00COL -�J-
I
I
I
I
I
C
OWNER
PHONE
3.
ADDRItSS
ZIP
Required Set Backs in Feet
North South
East West
CON TOR
PHONE
Size of Parcel
Zone Classification
—�
4'
ADDRE
21P
Type Const.
Occupancy
Sprinklered
a
I
❑Yes [-]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.
1
r
TYPE El NEW E) ALT.
1-1AD'N. El RPL.
1:1MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
❑ BLD. ❑ PLMB.
>1MECH: ❑ M.H.
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
8 FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities 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 state or local law regulating construction or the
performance of
construction. Plumbing
DATE//—/I--7 ? 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
SEPA Checklist
11 -11? -7
DATE O 9
FFICIAL
ennnnvrn rnn IccllnMnr
PERMIT NUMBER
d
DATE
G4* *7.00
*7.00 !7)
*7.001
E *000 00
809.7
11-19-79
;@ 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 '1'-'19 '-7, 9 Q 0 9.8 z
.47.00COL -�J-
I
I
I
I
I
C