HomeMy WebLinkAbout1982, 12-17 Permit: 82B-2045 WoodstovePLAN NUMBER
APPLICATION/PERMIT
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
STREET ADDRESS
1. . 7o8 Icn
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
OWNER
£, . t•-1
PHONE
PHONE
OCC
LEGAL DESCRIPTION:
MAILING ADDRESS
5.10e) t 2N
Actual Set Backs in Feet to:
North 'South 1East I West
CONTRACTOR
4. S/7ekY►1E
ADDRESS
rSi4.i�l�
LICENSE EXPIRES
PHONE
Size of Parcel 1 Zone Classification
Residential 0
Commercial 0
ZIP
Type Const.
Occupancy
Spr'nklered
❑Yes ONo OReq'd.
DESIGNER
5.
ADDRESS
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
B.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE LTJ NEW ❑ ALT. 0 'N. 0 RPL. 0 MVE.
7. OF El BLP: ❑ PLMB. CVMECH. 0 M.H. 0 POOL
WORK
❑ OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑ Non
Received Yes ❑ Non
Number
8.
9.
DES RIBS WORK
Gto2J' L A C4
VALUATION
SOURCE
UTILITIES
€
Shorelines/Flood Hazard
Yes Not Applic. ❑
Plans Required 0
Received 0
GAS
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER ❑
Ownership
Public 0 Private 0
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-
thority 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�/
SIGNATURE OF T) "1`� '"7_ `� &' � G2-"( APPLICATION
OWNER OR AGENT -1i DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech. 4 z_c)occ,
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
SLE)-- zoo
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE 9JED� -8
PERMIT40P 4 5 z TOTAL
*2 0.0 O