1982, 12-01 Permit: 82B-1531 WoodstoveFLAN NUMBtR APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT g r 11r73
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
-xc LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK BDIVISION PARCEL NUMBER/S
3. vwNtR HONE 5+
ADID ESS 1 I ZIP j Actual Set Backs in Feet
North South East West
CO TQC P ONE Size of Parcel Zone Classification
4. ADDRESS j ZIP Type Const. F Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor I Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
s.
TYPE No. Baths No. Stories No. Rooms No. of Dwellinc
NEW ❑ALT. 'N. El RPL. El MVE.
], OF ❑OTHER
WORK 1:1 BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'c
of EXEMPTION
DES RIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8. AJIWV So�/V
VALUATION I SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE COjed
9. UTILITIES Public ❑ Private ❑ Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions inclu
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing type of workwill be complied with whether specified herein or not. The granting of a permit does not presBuilding
to give authority to violate or cancel the provisions of any other state or local law regulating construction or
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
• -zC.`i
DATE OF APPLICATION 1/- 3D"' 8'2..SIGNATURE OF APPLICANT V Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
an
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
04* *20.00
*200Ox-
P. * r)
U
1 53,0
1 -01-82
6.479
TOTAL $ 2�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12,41-8'2 153.125
DATE ISSUED PERMIT NO.
*20.00a -I -j
TOTAL
a
C
C
r
■
Z