1982, 12-08 Permit: 82B-1773 WoodstovePLAN NUMBER APPL ICAT ION /PERMIT
SPOKANE COUNTY - DEPARMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
. PERMIT NUMBER
V*t.r.-:,- I-7_7-�)
Utilities
Plans I I i I PERMIT IS NONTRANSFERABLE
Exam. IPERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building ®. p: IN 180 DAYS
Tech.
TOTAL $ u�
r
i
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. 8 277 7
DATEiS;E� _ PERMITIN9. 7' 3 6 * O' a *Oil'AL
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No. earns
APPLICANT: COMPLETE NUMBERED SPACES
-PRESS HARD TO MAKE 3 COPIES
No. Dwellings
STRE ADDRESS
PARCEL NO.
1.
7.OF
El BLD. ❑ PLMB.;'IGECH. ElM.H. El POOL ❑OTHER
_T
Certifi. of Exempt.
LOT
BLCICK
WORK
SUBDIVISION
Received Yes❑ No❑
LEGAL DESCRIPTION:
2.
Shorelines/ Flood Hazard
Plans Required ❑
���
yes Not Appiic. ❑
Received ❑
VALUATION
SOURCE
OF
OWNER J69-1-
f�//�
PHONE
/ VI/
PHONE
Ownership
3.
FEES COLLECTED
V ✓
V
PRIVATE ❑
MAIuIN j
N
SS 6
ZIP
Actual t Backs n Feet to:
North South East West
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of
CONTR CTO
��Commercial
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential ❑
❑
4.
��,1,
OWNER OR AG DATE
SPECIAL APPRIDVAI S
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
SEPA
Planning
Dyes ❑No ❑Req'd.
DESIGNER
Modular/
PHONE
New Const. Valuation
Remodeled Valuation 7
otal Bldg. Floor Area
5.
Fire
Prevent.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
Utilities
Plans I I i I PERMIT IS NONTRANSFERABLE
Exam. IPERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building ®. p: IN 180 DAYS
Tech.
TOTAL $ u�
r
i
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. 8 277 7
DATEiS;E� _ PERMITIN9. 7' 3 6 * O' a *Oil'AL
a
O
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W
J_
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No. earns
No. Floors
No. Fin. Rooms
No. Dwellings
TYPE �W ❑ ALT. El AD' N. C1 RPL. El MVE.
7.OF
El BLD. ❑ PLMB.;'IGECH. ElM.H. El POOL ❑OTHER
_T
Certifi. of Exempt.
Required Yes❑ No❑
Number
WORK
or Variance
Received Yes❑ No❑
8 DESC
II®
Shorelines/ Flood Hazard
Plans Required ❑
���
yes Not Appiic. ❑
Received ❑
VALUATION
SOURCE
OF
GAS
ELECTRIC
WATER
PUBLIC ❑
SEWAGE
SEPTIC ❑
Ownership
FEES COLLECTED
9
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
Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REV IDE FOR REQUIRED IN CTIO
Plumbing
APPLICATION
��,1,
OWNER OR AG DATE
SPECIAL APPRIDVAI S
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env. Health
SEPA
Planning
Modular/
MFG. Home
Fire
Prevent.
Other (Specify)
Fnnlnww
Utilities
Plans I I i I PERMIT IS NONTRANSFERABLE
Exam. IPERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building ®. p: IN 180 DAYS
Tech.
TOTAL $ u�
r
i
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. 8 277 7
DATEiS;E� _ PERMITIN9. 7' 3 6 * O' a *Oil'AL
a
O
V
W
J_
U_