1982, 08-18 Permit: 82A-7228 WoodstovePLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILQ4VG CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 2 0, 0 0
iV -7 , -FATeiz- LEGAL DESCRIPTION -SEE ATTACHED
LOT I 13LOCK ISUBDIVISIONPARCEL NUMBER/S * 2 0 0 0-
2.
1 1
A *^,00
OWNER
PHONE
3. L_11A ��,Au-1aes
7 2 �. 7
l — 8 2
ADDRESS
ZIP
Actual Set Backs in Feet
V �>A2rZ
Q�
North South
East West
6-479.
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
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
Area of Decks
Finished Basement
Unfin. Basement
170
s.
TYPENEW ❑ ALT. ❑ AD -N. ❑ RPL. MVE.
❑
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF 1 ED]OTHER
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
El BLD. 1-1PLMB. L'7 MECH. ❑ M.H. ❑ POOL
WORK
of EXEMPTION
I
DESCRIBE WORK Enum. Dist. Location (Area)
8. U f2" ! STbv I
FEES COLLECTED
VALUATION SOURCE GAS WATER SEWERUSE CODE
Ownership
7rELECTRIC I
9. UTILOITIES Public ❑Private ❑
I
Single $
r/
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 thisBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
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
/%
�iiyail
Mech. C90
DATE OF APPLICATION SIGNATURE OF APPLICAN� r`��
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
nning
e Mars
neer
Utilities
Plans Examiner
echniciiaGan PERMIT IS NONTRANSFERABLE
DLLs r'v'� PERMIT FXPIRFC (INF VFAR FRnm nATF nP ICCIIAIUCF
Mobile Home
Other (Specify)
TOTAL $ �d•
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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