1981, 09-30 Permit: 81B-0105 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 3 COPIES
JOB ADDRESS
-'S ✓ .fir - LEGAL DESCRIPTION —SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWN R
3.le—T'i.
ADDS.ESS
L;, i?�Gli 2
1~4
NE
Actual Set Backs in Feet
forth (South
CONTRACTPR.
PHONE
Size of Parcel
Zone Classification
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No E]Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No.
Stories
No. Rooms
No. of Dwellings
TYPE NEW El ALT. E] 'N. El RPL. ❑ MVE.
7, OF ❑ OTHER
1:1BLD. ElPLMB. u MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DES RBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
10
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
I
I
Public ❑ Private ❑
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 re ulating constructs or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
Plumbing
nATF nc DDI irnTinni .L/LPfiSIGNATURE OF APPLICANT ����// 1/
Mech. -�
SPECIAL APPROVALS
NAME DATE
nv
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
una ' I e�icia
Cwt.-
—
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
E5I E>-0 C
^4* *1700
*17.00 u
* 1 7,00
A *0.00 00
1 0.42
09-30-81
2 6.479,
TOTAL $ 11.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
9;-4'5-8I 1Q5d
DATE ISSUED PERMIT NO.
TOTAL