1982, 10-25 Permit: 82B-0048 WoodstoveAPPLICATION/ PERMIT
PERMIT NUMBER
PLAN NUMBER
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 A DRESS
LEGAL DESCRIPTION..— SEE ATTACHED.
LOT.
BLOCK
PARCEL NUMBER/S
2.
JSUBDIVISIOM
OWNER
ONE
O * * 2 0. 0,G
3.
ADDR
SS
I
Z /
&
Actual Set Backs in Feet.
* 2 O. O O 6
North South East
West
`
A * O: O O c��
CONTRACTOR
HONE.
Size of Parcel
Zone Classification
4.
4,.7;g
ADDRESS
ZIP
Type Const.-
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
1,025-82 ..
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft. .
4 7
1. z . 9.
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
_
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unf in. Basement
6:
TYPE �,/
1�1 NEW ❑ ALT.' ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No: of Dwellings
7, OF,� ❑OTHER
WORK ❑ BLD. - ❑ PLMB. -lf MECH. ElM.H.. El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
DESCRIBE WORK
Enum..Dist.
Location (Area)
$. Dv�
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
Q•
UTILOITIES
Public []Private❑
-
Single $
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
Building
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 INSPECTIONS
Plumbing
DATE �C ��
OF APPLICATION SIGNATURE OF APPLICANT
Mech..
SPECIAL APPROVALS
SPECIAL CONDITIONS:
.NAME DATE
Plan Check
Env. Health
SEPA
d
Planning
O
Fire Marshall
Mobile Horne
U_
Co. Engineer
Other (Specify)
Utilities
TOTAL $ .
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
TechnicPERMIT
�4Irit ,
IS NONTRANSFERABLE
o J —
i::G8 * 2 O
z - :O
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO. TOTAL'