1982, 01-04 Permit: 82B-0011 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 LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVI ION PARCEL NUMBER/S
OWNER PHONE
3.
ADDRESS ZIP Actual Set Backs in Feet
1 North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storagc
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basem
s.
TYPE NEW ❑ALT.
No. Baths No. Stories No. Rooms No. of Dwe
❑ 'N. 11 RPL. El MVE.
7, OF ❑ OTHER I L
WORK 1:1 BLD. ElPLMB. LTJ MECH. ❑ M.H. POOL CERTIFICATE Req'd. Recd. Not R
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
8
VALUATION I SOURCE G S ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES Public 11 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 APPLICATIO[�ii l/ A i��� 7 SIGNATURE OF APPLICANT ` "` t L Mech.
SPECIAL APPROVALS I SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
Building Technician
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECO ESA P MIT.
h-, 3
04-,82 1,1z
*17.00x:_