1982, 10-08 Permit: 82A-9289 WoodstovePLAN NUMBER
APPLICATION/PER 1 PERMIT NUMBER � _
' SPOKANE COUNTY - BUILDING CODES DEPARTMENT
/) NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOTBL K BDI ISI N PARCEL NUMBER/S
2. Z, 1'e P,/ .
VYNER 3. D 50 PHONE �7 - 7 �j
ADDRESS+� ZIP Actual Set Backs in Feet
,LII North South East West
CONTRACT] R PONE_ Size of Parcel zone Classification
W 9A-07
4. ADDRESS f IP TYP;7;TFs7 Occupancy Sprinklered
7 Q ❑Yes ❑No ❑ Req'd.
DE IGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS 71-F
Main Floor Upper Floors Garage Area Storage
6. 7 --
CHANGE OF USE FROM Area of Decks Finished Basement Unfin. Basement
No. Baths No. Stories No. Rooms No. of Dwellings,
TYPE NEW ❑ ALT. ❑ AAD'N. ❑ RPL. ❑ MVE.
% WORK ❑ OF BLD. ❑ PLMB. {J MECH. ❑ M.H. ❑ POOL ❑OTHER CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRI E WORK Enum. Dist. Location (Area)
8 ®0 ��� , /� FEES COLLECTED
VALUATION SOURCE GAS v ELECTRIC WATER SEWER Ownership USE COL
OF Public ❑ Private ❑
9. UTILITIES
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions includ
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing ttype of work will be complied with whether specified herein or not. The granting of a permit does not presuto give authority to violate or cancel the provisions of any other state or local law regulating construction or performance of constructiionn..SEE REEVERSESIIDEEFOR REQUIRED INSPECTIIONS// //o1- PI C A 1 1/�A T nll/' / 1`
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bui3�-7,cnnyn
SIGNATOR F APPLICANT
CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
-
TOTAL $ 2
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10 0 8 8 2 9 2 8.9 z
2
6471 -
Mobile
71 -
*20,000- -