1982, 09-28 Permit: 82A-8797 Woodstove..,4UMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
`J APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
JOB DDRES
�,, f- S � � LEGAL DESCRIPTION — SEE ATTACHED
1. LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
2.
O NER}.� �I �/ ON,E
3. l_� T- ✓ °iv l rte i 1
ADrESS
„/ Ll C,
CQ{tC�i f L
Z
0 l &
Actual Set Back in Feet
5.
ADDRESS
J
North
East West
COT ACT
Garage Area
PHONE
Size of Parcel
Zone Classification
CG`b
TO
Area of Decks
Finished Basement
4. ADDRESS
s.
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
No. Baths
PHONE
Valuation
Building Area in Sq. Ft.
8 1. ""js� c--;, 0V FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC I WATER I SEWER Ownership T-USECODE
9. JUTILITIESOF
Public ❑Private ❑ [Building
ingle $
I 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
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 lumbing
SPECIAL APPROVALS
NAME DATE
nv. Health
anning
Co. Engineer
ns Examiner
n `
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
ngs
PERMIT NUMBER
UC)* *2000
6,
09 2 5i?2
- 6x/9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0.9-,28 812 879.7 z
*20,0000-�J- -
5.
ADDRESS
ZIP
Main Floor Upper Floors I
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Baseme
s.
No. Baths
No. Stories
No. Rooms
No. of Dwel
TYPE NEW 13 ALT.
❑ RPL.
❑ MVE.
7
1-1 BLD. 1-1 PLMB.
,❑,/AD'N.
)Q MECH. ❑ M.H.
El OTHER ❑
CERTIFICATE
Req'd.
Recd.
Not R
WORK
of EXEMPTION
DESCR11BE WORK
Enum Dist Location (Area)
8 1. ""js� c--;, 0V FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC I WATER I SEWER Ownership T-USECODE
9. JUTILITIESOF
Public ❑Private ❑ [Building
ingle $
I 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
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 lumbing
SPECIAL APPROVALS
NAME DATE
nv. Health
anning
Co. Engineer
ns Examiner
n `
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
ngs
PERMIT NUMBER
UC)* *2000
6,
09 2 5i?2
- 6x/9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0.9-,28 812 879.7 z
*20,0000-�J- -