1981, 10-21 Permit 81B-936 Woodstoveo�n 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, I
N 2<6 D G N �'t t J LEGAL DESCRIPTION –SEE ATTACHED
LOY BT �s�TTrrnrr,l-elzcl:
3.N I I r/�I
ADR 55
z —z
ZI
Actual Set Backs in Feet
Il:/iJ
PHONE
North South East West
Size of Parcel
4.
Zone Classification
ADDRESS
ZIP
Type Const. Occupancy
Sprinklered
DESIGNER
Dyes ONO ❑ Req'd.
5.
PHONE
Valuation
Building Area in Sq. FL
ADO RE55
ZIP
Main Floor Upper Floors
Garage Area Storage
CHANGE OF USE FROM TO
s.
Area of Decks Finished Basement Unfln. Basement
TYPE NEW 0 ALT AD'N. ❑RPL. ❑ No. Baths No. Stories
%. OF MVE.
No. Rooms No. of Dwellin
�,� 11OTHER
WORK D BLD. 0 PLMB. L7 MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd. Rec'd. Not Req':
OEJRIBWORK of EXEMPTION
$ yy��JJ - / Enum. Dlst. Location (Area)
GN
VALUATION SOURCE GAS ELECTRIC WATER SEWER
FEES COLLECTED
9• UTI LOITIES Ownership USE CODE
Public ❑ Private ❑
I hereby certify that 1 have read and examined this application and have read the "NOTICE"sions
Single $
included
on reverse side, and know the same to be true and Correct. All provisions of laws and ordinanceslgoverning
type
this
Of work will be complied with whether specified herein or not. The granting of a permit does not
to
Building
presume
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
Plumbing
`
DATE OF APPLICATION \ a SIGNATURE OF APPLICANTS—'1
1 XA
SPECIAL APPROVALS SPECIAL CONDITIONS:
Mech.
NAME DATE
Env. Health
Plan Check
Manning
SEPA
=ire Marshall
Mobile Home
;0. Engineer
Other (Specify)
Jtilities
'tans Examiner
�]
TOTAL $
':EPA Checklist
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
Iuil ch can .. PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSI IFn
PERMIT NUMBER
a I t3 - 7 50
04* *17.00
*17.00 In
*1700
A *0.00 S
9352
10-21-81
-9 6479.
9 A 6 Z' *1Z00ai-J