1982, 09-24 Permit: 82A-8675 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
Ln .y7
�
LOT
BLOCK
LL
SUBDIVISoN
3.
OWI
` r 1/at J F (-
ADDRESS
C O NT ACTOR
4. ADDRESS
1 NI
ZI P
DESIGNER
5. ADDRESS
6.
CHANGE OF USE FROM
TYPE
7. OF
WORK
2IFe
1 ‹ Gr
ONE
ZI P
PHONE
ZIP
TO
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. Ll MECH. ❑ M.H. ❑ POOL
DESCRINE WORK.,
8. c j 6 ?0L'
❑ OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
Actual Set Backs in Feet
North
South East
Size of Parcel
Type Const.
Valuation
Main Floor
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
No. Baths
CERTIFICATE
of EXEMPTION
Enum. Dist.
West
Zone Classification
Sprinklered
❑Yes ❑NO ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
No. Rooms
Req'd.
Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
I 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
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIS,y'S
DATE OF APPLICATION / Li—
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Healtrl
Planning,.
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Storage
No. of Dwellings
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
—� C
TOTAL $
rn
PERMIT NUMBER
04* *20,00
86742
09 -24 -82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'.9;24 -8`2
DATE ISSUED
867,55 *20.0021 -
PERMIT NO. TOTAL