1982, 09-01 Permit: 82A-7690 WoodstovePLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 7
P.Ij NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPE p No. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑/• yr-�� 'N. ❑ RPL. [IMVE.
% WORK 1:1 BLD. ElLJ PLMB. MECH. 1:1M.H. El POOL 13 OTHER CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WOROOPK I Enum. Dist. Location (Area)
8 il'_v' +VJ FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC I WATER SEWER USE CODE
Ownership
OF
9. 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 Building
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 INSPECTIIO�N�S / Plumbing
DATE OF APPLICATION -� SIGNATURE OF APPLICANT "'� _� I� � Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Enqineer
SPECIAL CONDITIONS:
Utilities
Plans Examiner
SEPA Checklist
ing Teni an PERMIT IS NONTRANSFERABLE
PERMIT FXPIRFS ANF VFAR FROM DATF OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $.
04* *2()00
76x39;_
09-01 —82
1479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0�90 } -18-2 7 b 9.0 z
IIATF ISSI IFr) PERMIT N!l
*20,00a�'-, -
Tr1TA I
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB AD RESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT
B CK
IISUBDivisrON
PARCEL NUMBER/S
2.
o
OWNER;
r���
P ON
3.
Iri
L 1?A2
ADqSS
P
Actual Set Backs in Feet
,AVS
North South East West
CONTRAq-rOft
H NE
Size of Parcel
Zone Classification
01
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
FStorage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE p No. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑/• yr-�� 'N. ❑ RPL. [IMVE.
% WORK 1:1 BLD. ElLJ PLMB. MECH. 1:1M.H. El POOL 13 OTHER CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WOROOPK I Enum. Dist. Location (Area)
8 il'_v' +VJ FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC I WATER SEWER USE CODE
Ownership
OF
9. 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 Building
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 INSPECTIIO�N�S / Plumbing
DATE OF APPLICATION -� SIGNATURE OF APPLICANT "'� _� I� � Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Enqineer
SPECIAL CONDITIONS:
Utilities
Plans Examiner
SEPA Checklist
ing Teni an PERMIT IS NONTRANSFERABLE
PERMIT FXPIRFS ANF VFAR FROM DATF OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $.
04* *2()00
76x39;_
09-01 —82
1479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0�90 } -18-2 7 b 9.0 z
IIATF ISSI IFr) PERMIT N!l
*20,00a�'-, -
Tr1TA I