1983, 11-01 Permit: 83B-1192 WoodstovePLAN NUMULH ArrL ISA 1 IUN / FLKM 1 1
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
STREETADDRESS
PARCEL NO.
1. �3, t 3u5 �ew.,��rzle✓�o
Garage/Storage
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
2.
I
OWNER
PHONE
PHONE
3.'k cx.,c �c cso��
CHANGE OF USE FROM
Q24 7
Cover Deck
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
i (2 6E
Ga c K c.
North South East West
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential ❑
4. (,-C 0,-), S
No. Dwellings
415'S _40l1�1V`l
1
1 Commercial ❑
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
C > 14.0 'TK
ckctZc��
Required
Yes❑ No❑
Dyes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5
DESCRIBE WORK
8' —RE
PERMIT NUMBER
e> -5b - I N Cl z
ADDRESS
ZIP
Main Floor
per Floors
Garage/Storage
Greenhouse
Fin. Basement
Unfin. Basement
CHANGE OF USE FROM
TO
Cover Deck
Uncw. Deck
6.
TYPE GALT.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
7. OF NEW D'N. ❑RPL. ❑ MVE. ❑ OTHER
XMVECH.
WORK f(BLD. ❑ PLMB. ❑ M.H. ❑ POOL
Certifi.ofExempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No❑
DESCRIBE WORK
8' —RE
Shorelines/ Flood Hazard
Plans Required ❑
t7S`TO oc 4 lel c Ne -1
Yes❑ Not Applic. ❑
Received ❑
VALUATION
9•
SOO
GAS
LEU
ELERIC
RIC
WATER IC ❑
SEWTAC D Ownership
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 REVER$"IDEfFOR REOUIRW INSPECTIONS
Plumbing
SIGNATURE OFAPPLICATION.
OWNER OR AGENT ( DATE
Mech. Z�. co
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE
PRELIM. FINAL DATE
Plan Check
Env. Health
jjJ /�
4—
Planning
Planning
""" ��/
�f
( j
Modular/
MFG. Home
Fire
C
Prevent.
t:
Engineer
Other (Specify)
C
L
Utilities
L
ZO'
TOTAL $
SEPA
MACHINE IN THIS SPACE,
Plans
PERMIT IS NONTRANSFERABLE
HEIS BECOMES A PERIM TTED
Exam.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building
Tech.
tl '
IN 180 DAYS
1 ( 11 11 ?
DATEI iSLE�U I — > 9. L z
* 2 O. 0 O
PERMITINil.
$OIrAL