1982, 02-18 Permit: 82A-1108 WoodstovePLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1• E . A-!> Su�fv�( ��DC LEGAL DESCRIPTION —SEE ATTACHED
LOT I BLOCK UBDIVISIO PARCEL NUMBER/S
2.
OWNER PHONE
3 ilk C uSC; a —Cites
ADDRESS
ZIP
Actual Set Backs in Feet
�
�5661 !EJ i D 46
�
qQ0--a--,-7North
South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
C� Mf
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor I Upper
Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE NEW ❑ ALT. 11 AD'N. 11 RPL. ❑ MVE.
7, OF/ ❑ OTHER
13 BLD. 1:3PLMB. )f7J MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIES
Public ❑ Private ❑
Single $
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
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
MA=r%C ADD] [f ATInhl � � /J� Clf`�IATII�GnC ADDI 11A1� � ar\r"i•ar
Mech. 0
SPECIAL APPROVALS
NAME DATE
nv. Health
anning
ire Marshall
o. Engineer
tilities
lans Examiner
SPECIAL CONDITIONS:
Plan Check
SEPA
Mobile Home
Other (Specify) -
2 P
Specify)
2P 00
*2000
P, * U
110,7
C-18-82
6479
TOTAL $20-
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Technician _ -`� PERMIT IS NONTRANSFERABLE 0 c2' & tib `1 1{1 Q 6 z * 2 �. d IJ-