1982, 09-27 Permit: 82A-8735 WoodstovePLAN NUMBER
6 -
APPLICATION/
SPOKANE COUNTY - 6CILDI NG CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
el f%Yi*,u-\
Zone Classification
LEGAL DESCRIPTION —SEE ATTACHED
1.
ocl
4. DRESS
LOT
BLOCK
NUMBER/S
2.
I
ISUBDIVISIONPARCEL
Sprinklered
OWNERPHONE
3. �k.
Sam
boj4-
PHONE
ADDRESS
Building Area in Sq. Ft.
ZIP
Actual Set Backs in Feet
G
• J
�6i�Lr
�j
—`��?
North South East West :1
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4. DRESS
ZIP
Type Const.
Occupancy
Sprinklered
-]Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor I Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE NEW ❑ ALT. ❑ DIN. ❑ RPL. ❑ MVE.
7, OF E] OTHER
1:1BLD. ❑ PLMB. 1 MECH. ElM.H. 1:1 POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
8. 1003 %6(2-T
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public ❑Private ❑
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
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
Plans Examiner
nician
C
PERMIT IS NONTRANSFERABLE
PERMIT NUMBER
*2000
*2000
A
87311
09, 27-- 2
bQ r �.
TOTAL $-57-0 - I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0,92.7.=8.2 87.3.5 z
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