1983, 08-16 Permit: 83A-7837 Woodstover-LHry NUMOtn I ArrLI(:A I IUN/ PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
' APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1 - TREETAf�DRESS PARCEL NO.
I�✓V
2. LOT BLOCK I SUBDIVISION' LEGAL DESCRIPTION:
!Z
NEW P O?N PHONE
3. IJV
LIING ADDRESS
/
�
/
Actual Set Backs in Feet to:
LAJ�V
7
r
North South East
West
CONT C
OR
LICENSE EXPIRES
ONE
Size of Parcel
Zone Classification
Retial ❑
4.
Commercial ❑
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑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
s.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE NEW ❑ ALT. ❑ 'N. ❑ RPL.
❑ MVE.
Flo. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
7. OF
❑OTHER
WORK ❑ BLD. ❑ PLMB., MECH. ❑ M.H.
❑ POOL
�ifi.ofExempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No❑
8. DES RI
•�o
Shorelines/ Flood Hazard
Plans Required ❑
Yes Not Applic. ❑
Received ❑
VALUATION
SOURCE
GAS
ELECTRIC
Ownership
9
OF
PUBLICO
I
SEPT CG❑E
FEES COLLECTED
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
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
Building
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVEJkSE SIDE FOR aEOUIRED INSPECTIONS
Plumbing
SIGNATURE OF
OWNER OR AGENT
APPLICATION h JI
DATE �/ (�
Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent,
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building
Tern. IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS
THIS BECOMES A PERMIT.
PERMIT NUMBER
- 79
_ u %
DATE ISD PERMIT NO. o * O
SUETOTAL
tL
O
C.3
W
J
W