1982, 10-11 Permit: 82A-9347 WoodstoveNUMBER APPLICATION/PERMIT
-�� SPOKANE COUNTY BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON/ SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
-Au 2A ' 114
CHANGE OF USE FROM
TO
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
Unfin. Basement
JOB DDRES
JI 3
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61!n_
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
No. Baths
No. Stories
No. Rooms
No. of Dwellings
NUMBER/S
2.
ISUBDIVISIONPARCEL
7, OF ❑OTHER
OWNERONE
1:1 BLD. ElPLMB. MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
3.
DESCR
BE WORK �-fd rtn
``/'
Enum. Dist.
'
FEES COLLECTED
ADDR SS
P
Actual Set Backs in Feet
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE
9.
I
/ \
Public ❑ Private ❑
North South East West
CONTRAICTQh
"NOTICE" provisions inc
_
on reverse side, and know the same to be true and correct. All provisions of laws
and ordinances governinBuilding
PHONE
Size gi Parcel
Zone Classification
of a permit do not prto
give authority to violate or cancel the provisions of any other state or local
regulating co tr c'on
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEC I
NS
4'
ADDRESS
'Zr�
ZIP
Type Const.Occupancy
Mech.
Sprinklered
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
❑Yes ❑No ❑ Req'd.
Env. Health
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
Planning
Mobile Home
ADDRESS
Fire Marshall
ZIP
Main Floor
Upper Floors I
Garage Area
I Storage
PERMIT NUMBER
-Au 2A ' 114
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE 2TNEW ❑ ALT. ❑ A ❑ RPL. ❑ MVE.
7, OF ❑OTHER
1:1 BLD. ElPLMB. MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCR
BE WORK �-fd rtn
``/'
Enum. Dist.
LocationJ(Ae
FEES COLLECTED
8
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE
9.
OF
1UTIL11TIES
Public ❑ Private ❑
Single $
I hereby certify that I have read and examined this application and have read the
"NOTICE" provisions inc
_
on reverse side, and know the same to be true and correct. All provisions of laws
and ordinances governinBuilding
type of work will be complied with whether specified herein or not. The grant'
of a permit do not prto
give authority to violate or cancel the provisions of any other state or local
regulating co tr c'on
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEC I
NS
Plumbing
'Zr�
DATE OF APPLICATION SIGNATURE OF APPLIC
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
TOTAL $ `�
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
"
1`:0:1"11' 8 2 9 3 4,�7 z * 2 0.0 0 2 IJ —
nician PERMIT IS NONTRANSFERABLE