1982, 08-09 Permit: 82A-6880 WoodstovePLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
LOT SL 1
2.
OWNER
3.
ADDRESS
6. 1 IA -1 -
CONTRACTOR
S-40--is-
4.
is -4. ADDRESS
CL
AAV-.&
DESIGNER
5. ADDRESS
,�- t -w CV0
Ai
E
PP Actual Set Backs in Feet
1.� North (South
LONE ISize of Parcel
ZIP
PHONE
ZIP
aluation
in
Zone Classification
icy Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
oors Garage Area Storage
CHANGE OF USE FROM
TO
Area of Decks
t-Inlshed Basement
Unfln. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE l� EW ❑ ALT. ❑ D'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
�J
LrJ BLD. ❑ PLMB. MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
s. V�-�iar�- .. a N rkl (' v 0-
VALUATION
SOURCE
GAS
ELECTRIC WATER
SEWER
Ownership
USE COjed
9.
UTILOITIES
Public ❑ Private ❑
Single
$
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions inclu
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing
Buildingtype
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 c truction or
performance of construction. SEE REVERSESIDEFOR REQUIRED INSPECTION
Plumbing
_ —
Mech.
DATE OF APPLICATIO)i (� L SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
ng Te hm J PERMIT IS NONTRANSFERABLE
Yfy"1 ` 7 i/ DCDRAIT CVDIOCC nhM VCAD CQAI1l1 nATC nr- ICCIIAKIrC
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
02 *20,00
04* *2rC0
*40.00
* 0 rn
687.cl >
O 0 82
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
nArC (CCI ICn DCOnnIT Kin
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