1982, 11-08 Permit: 82B-751 WoodstovePLAN NUMBER
CONTRA T
Size of Parcel
APPLICATION/PERMIT
PERMIT NUMBER
6479, 79
4.
/
F5 - -71 i
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
!Uv
Occupancy
Sprinklered
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
❑Yes ❑No ❑ Req'd.
JOB AD RESS
�_ ( Q
+ r�Ai
LEGAL DESCRIPTION — SEE ATTACHED
0 4 * * 2 0 0 0
LOT BL K
USDIVISION
'I PARCEL NUMBER/S
* 2 0 0 0 v
2.
OW
HONE
A *(.GO
3.
Main Floor Upper
L-'
7 5, 0 0
ADDRESS
q1
IAS 1 ZIP Actual Set Backs in Feet
1 1 - 0 8 - 3 2
North South East West
PHONE
Size of Parcel
Zone Classification
6479, 79
4.
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
I Storage
—
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE NEW 1:1 ALT. [Z'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
], OF ❑OTHERWORK
jr�MECH.
BLD. ❑ PLMB. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
"
of EXEMPTION
I
DESC R IBr WORK
Enum. Dist.
Location (Area)
g 'V9
FEES COLLECTED
VALUArIONJ
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
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 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 OF APPLICATION
SIGNATURE OF APPLICA-"
Mech."
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
A
Planning
C
C
Fire Marshall
Mobile Home
LA
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
chn ian
PERMIT IS NONTRANSFERABLE
11- 0 8 -'8 27 �j, 1 z
* 2 0, 0 0 a F, -
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