1983, 08-08 Permit: 83A-7468 WoodstovePLAN NUMBER APPLIICAT ION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
CHANGE OF USE FROM I TO I Cover Deck Uncv. Deck Fin. Basement Unfin. Basement
6.
u
APPLICANT: COMPLETE NUMBERED SPACES —
PRESS HARD TO MAKE 3 COPIES
No. Dwellings
STREET ADDRESSPARCEL
NO.
1.
7 11 OTHER
ct 1 l 6S :-- „J
LOT
BLOCK
SUBDIVISION
WORK ❑ BLD. ❑ PLMB. ®MECH. ❑ M.H. ❑ POOL
LEGAL DESCRIPTION:
2.
Received Yes❑ No 1-1
I
Shorelines/ Flood Hazard
Plans Required ❑
OWNER
PHON E
PHONE
3.
SOOUFCE
6L!�� C_ <j
ELECTRIC
SE TIC El
Ownership
MAILING ADDRESS
FEES COLLECTED
ZIP
Actual Set Backs in Feet to:
r— his
'_' c--. N D o w N
k'.A
North South East West
CONTRACTOR
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential ❑
4.
SA rKc
I
Plumbing
SIGNATURE OF APPLICATI
I
Commercial ❑
I
Mech.���`'
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
j
❑Yes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM I TO I Cover Deck Uncv. Deck Fin. Basement Unfin. Basement
6.
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Utilities
Plans
Exam.
Buildii
Tech.
AL CON 1 IONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG.Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
ff��
s ' �
DATEla!1D 0 Q 3
PERMIT NUMBER
-5A 7
7
PERMIT W6.4 6, 8 2� * 3 O. 0 fJ &Ai!_
a
C
U
L
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
TYPE NEW El ALT. ❑//AD' N. ❑RPL. ❑ MVE.
7 11 OTHER
Certifi.ofExempt.
Required Yes❑ No❑
Number
WORK ❑ BLD. ❑ PLMB. ®MECH. ❑ M.H. ❑ POOL
or Variance
Received Yes❑ No 1-1
DESCRIBE WORK
8•
Shorelines/ Flood Hazard
Plans Required ❑
ay)c of E t,v ,A Atom.
Yes 11 Not Applic.❑
Received ❑
VALUATION
SOOUFCE
GAS
ELECTRIC
PUBLIC WATER
SE TIC El
Ownership
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private ❑
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
Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel flvisions of any other state or local law regulating construction or the performance
of construction. SEE REYIERSE S REQUIRED INWEJVIONS
Plumbing
SIGNATURE OF APPLICATI
OWNER OR AGEN DATE 3
Mech.���`'
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Utilities
Plans
Exam.
Buildii
Tech.
AL CON 1 IONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG.Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
ff��
s ' �
DATEla!1D 0 Q 3
PERMIT NUMBER
-5A 7
7
PERMIT W6.4 6, 8 2� * 3 O. 0 fJ &Ai!_
a
C
U
L
PERMIT W6.4 6, 8 2� * 3 O. 0 fJ &Ai!_
a
C
U
L