1982, 09-09 Permit: 82A-8017 WoodstovePLAN NUMBER APPLICATION/PERMIT 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
1. E. LEGAL DESCRIPTION - SEE ATTACHED
LOT I 13LOCK ISUBDIV15ION PARCEL NUMBER/S
OWNER
3.
ADDRESS
lI- . I &5c
CONTRACTOR
i9"yVt6
4. ADDRESS
.C.— f.-WILC
DESIGNER
5. ADDRESS
ITh SSS c n .--3
PHONE
J?Ze-i 3
ZIP
C:kq
PHONE
ZIP
PHONE
ZIP
Actual Set Backs in Feet
forth South
East West
iize of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes [--]No ❑ Req'd.
/aluation
I Building Area in Sq. Ft.
Main Floor I Upper Floors I Garage Area I Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No. Baths No, Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ DIN. ❑ RPL. ❑ MVE.
c
7, OF ❑ OTHER Req'd. Red. Not Req'd.
WORK El BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8. �o.J f J F, FEES COLLECTED
VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership T—USECODE
OF Public ❑Private ❑
9. UTILITIES 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. S E R VERSE SIDE FOR REQUIRED INSPECTION Plumbing
DATE OF APPLICATIONY SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
v4* N2C.I�V
801.6-1
09-09-82
6,479,
SEPA
n
Mobile Homeu
LL
Other (Specify)
TOTAL $-2.4.00
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
0 9 0='9 -8-2
IN THIS SPACE,
8 0 4/ Z
*20.00