1983, 09-23 Permit: 83A-9415 WoodstovePLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PRELIM. FINAL DATE
Env. Health
Planning
A
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building/ IN 180 DAYS
Tech.
Plan Check
SEPA
Modular/
MFG. Home
i
Other (Specify)
TOTAL $ ✓—
WHEN MACHINE VALIDATED I
THIS BECOMES A PERMIT.
PERMIT NUMBER
E5 -SA `iNl�
04* *20.00
*20.0061
A *0.00 8
941.42
09-23-83
2 6.479.
DATEVSS0E 23; — 8 j PERMITU L 5 Zd 2 0.:0 0 0-j
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APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
DESCRIBEWORK
8•
STREET ADDRESS
Plans Required
WeAU11,41
PARCEL NO.
Received ❑
1.
SOURCE
-S ZZ CQ
ELECTRIC
PUBLIC 0
SEWAGE 0
Ownership
LOT
BLOCK 'SUBDIVISION
9•
I UTILITIES
LEGAL DESCRIPTION:
2.
SEWER ❑
I
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
OW ER
'�
PHONE
PHONE
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE EOR REOUIRIED INSPECTIONS
>✓ S.
SIGNATURE OFWj_ APPLICATIONp
d '3
Mach.
1z(0 17
SPECIAL APPROVA
3.
MAIL I G ADDRESS
ZIP
ActualSet Backs in Feet to:
j -Z_ u, �-
A
Lj "�Z-0 Co
North South East West
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential ❑
Commercial ❑
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes El No
❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
TYPE EW
❑ ALT. N.
El RPL. ❑ MVE.
7
OF
❑ OTHER
WORK ❑ BLD.
ElPLMB. MECH.
❑ M.H. ❑ POOL
Certifi.ofExempt.
Required Yes❑ No❑
Number
PRELIM. FINAL DATE
Env. Health
Planning
A
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building/ IN 180 DAYS
Tech.
Plan Check
SEPA
Modular/
MFG. Home
i
Other (Specify)
TOTAL $ ✓—
WHEN MACHINE VALIDATED I
THIS BECOMES A PERMIT.
PERMIT NUMBER
E5 -SA `iNl�
04* *20.00
*20.0061
A *0.00 8
941.42
09-23-83
2 6.479.
DATEVSS0E 23; — 8 j PERMITU L 5 Zd 2 0.:0 0 0-j
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C3
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or Variance
Received Yes❑ No❑
DESCRIBEWORK
8•
Shorelines/ Flood Hazard
Plans Required
WeAU11,41
Yes❑ Not Applic. ❑
Received ❑
VALUATION
SOURCE
GAS
ELECTRIC
PUBLIC 0
SEWAGE 0
Ownership
FEES COLLECTED
9•
I UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private ❑
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
Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE EOR REOUIRIED INSPECTIONS
Plumbing
SIGNATURE OFWj_ APPLICATIONp
d '3
Mach.
OWNER OR AGENT DATE
SPECIAL APPROVA
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE
PRELIM. FINAL DATE
Env. Health
Planning
A
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building/ IN 180 DAYS
Tech.
Plan Check
SEPA
Modular/
MFG. Home
i
Other (Specify)
TOTAL $ ✓—
WHEN MACHINE VALIDATED I
THIS BECOMES A PERMIT.
PERMIT NUMBER
E5 -SA `iNl�
04* *20.00
*20.0061
A *0.00 8
941.42
09-23-83
2 6.479.
DATEVSS0E 23; — 8 j PERMITU L 5 Zd 2 0.:0 0 0-j
d
O
C3
LU
J
W