1982, 12-22 Permit: 82B-2154 WoodstoveAPPLICATION/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
1. S. 628 Evergreen Road LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDI IS ON I PARCEL NUMBER/S
OWNER PHONE
3. Gary Ramelow 922-8464
ADDRESS Same 9ZIP9216 Actual Set Backs in Feet
North South East
CONTRACTOR PHONE Size of Parcel Zone Classific
4. Same
VV ove
VALUATION SOURCE GAS ELECTRIC I WATER SEWER Ownership USE CODE
9.O
UTILITIES Public ❑ Private ❑ Single $
1 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 per it does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulati g constr n or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 'z o SIGNATURE OF APPLICANT S Mech. _20.00
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
ning
ngineer
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
=-� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCF
SEPA
Mobile Home
Other (Specify)
TOTAL $ 20_nn
V\_4 PERMIT NUMBER
o2V -2— t
a,4-
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2 "2 2 _v$ 21 2'10
z:
nATC IC¢I ICn o�onnT nir�
*'20,OO(OL -�j -
--1 I
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ADDRESS
ZIP
Type Const,
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
PE � NEW ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7,
OF
11 OTHER
WORK 1:1 BLD. ElPLMB. ® MECH. 1-1 M.H.
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
s
W d St
FEES COLLECTED
VV ove
VALUATION SOURCE GAS ELECTRIC I WATER SEWER Ownership USE CODE
9.O
UTILITIES Public ❑ Private ❑ Single $
1 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 per it does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulati g constr n or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 'z o SIGNATURE OF APPLICANT S Mech. _20.00
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
ning
ngineer
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
=-� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCF
SEPA
Mobile Home
Other (Specify)
TOTAL $ 20_nn
V\_4 PERMIT NUMBER
o2V -2— t
a,4-
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2 "2 2 _v$ 21 2'10
z:
nATC IC¢I ICn o�onnT nir�
*'20,OO(OL -�j -
--1 I
u
u