1982, 09-13 Permit: 82A-8141 WoodstovePLAN NUMBER APPLICATION/PERMIT
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_ ^
12 IA e,4ew—
ADDRESS
-!!!) ,."CdiO� SuIvSJc�w�v
CONTRACTOR
'S la.-fHS
4. ADDRESS
DESIGNER
5. ADDRESS
ZIP��,_...,, �A``
4-zc;C
Actual Set Backs in Feet
North South
PHONE
Size of Parcel
ZIP
Type Const.
Occupancy
PHONE
Valuation
ZIP
Main Floor
I Upper Floors
Zone Classification
❑Yes [-]No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area I Storac
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Untin. Basement
6.
I
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENEW ALT. DIN. RPL. MVE.
❑❑ ❑ ❑
7, OF ElOTHER
ElBLD. ElPLMB. MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
8. Vi(�L�sc.�ci.�cyU 15 Ja
FEES COLLECTED
VALUATION1
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
I
I
Public ❑Private ❑
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances goverBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does not
]this
to give authority to violate or cancel the. provisions of any other state or local law regulating constructioperformance
of construction. SEE REVVERSE SIDE FOR REQUIRED INSPECTIO S,
Plumbing
d
C1 //Y�-Z(540M"r /Mech.
fI�TF (1G OPDI I!'A TIfI AI CII=N nT1IOC IlC nDD1 I/n nlT
2 bf
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
aLlilding ech i--iaic,-n-----� PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ad).a�
-plPERMIT NUMBER
A-q�4r
0(1* *2000
7 ` 1
6479:
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09-13.;B2 8l4lZ
*20.002