1982, 09-24 Permit: 82A-8684 WoodstovePLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
/
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
* J
[.l *
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
C;
LOT
BLO K
BD I ION
PARCEL NUMBER/S
2.
* [)
OWNER
PHONE
3
* `i
ADDRESS
ZIP
Actual Set Backs in Feet
e- i i CO -2-7. 1
Q
North South East West
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v
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
C `1—X11—`Q
4.
Occupancy
ADDRESS
ZIP
Type Const.
Sprinklered
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation �VvaU
Building Area in Sq. Ft.
5.
—
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
Area of Decks
Finished Basement
Unfin. Basement
7-0—
6.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
], OF. ` ❑OTHER
"�!
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK BLD. ❑ PLMB. MECH. ElM.H. ❑POOL
of EXEMPTION
I
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
8. �� € `� C.
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership
OF
I
9. UTILITIES Public ❑ Private ❑ingle $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisioAL -
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances goz
_
type of work will be complied with whether specified herein or not. The granting of a permit does nuilding
to give authority to violate or cancel the provisions of any other state or local law regulating constru
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO lumbing
4nh
9'2 ��
DATE OF APPLICATION SIGNATURE OF APPLICANT ech.�'�
SPECIAL APPROVALS SPECIAL CONDITIONS: 1fr�Q.C.W�.E QIN yoollo IFLL�Olan
NAME DATE Check
Env. Health
SEPA
Planning
Fire MarshallMobile Home
Co. Engineer Other (Specify)
Utilities 1 --
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ing jechnicia el PERMIT IS NONTRANSFERABLE
pl� D9 214 -.8:2
8 6 8. 4 z * 4'0, 0 0 a F.