1982, 08-31 Permit: 82A-7683 WoodstovePLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY -BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
L/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
OWNER ;5 YV Vv O( y
ADDf�55 j ZIP Actual Set Backs in Feet
LC�� yr�' North South East
CONT CT
PHONE I
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storac
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPEEJ NEW ❑ ALT. ❑ AD'
No. Baths No. Stories No. Rooms No. of Dwellings
N. 11 RPL. El MVE.
], OF—/ ❑OTHER Not Re
WORK El BLD. ElPLMB. MECH. ElM.H. 1-1 POOL CERTIFICATE Req'd. Recd. q'd.
of EXEMPTION
8 DESCIRIBE W06V WORK V� Enum. Dist. Location (Area) FEES COLLECTED
VALUATION1 SOURCE GAS ELECTRIC WATER SEWERUSE CODE
Ownership
OF 1
9. 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 constructions. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS ` �///�yj Plumbing
DATE OF APPLICATION x 3 � — SIGNATURE OF APPLICANTC�ic�1L��1>/ /,&,/ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
nning
eMa r
ngineer
Utilities
Plans Examiner
SEPA Checklist
n c PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
;,; [L G )
A
76 .2
-r:2
6, f± 7 q.
Mobile Home
Other (Specify)
TOTAL $ Z
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'8 , ,��82 768.`35 *2aooOCL�, -