1983, 09-20 Permit: 83A-9233 WoodstovePLAN NUMBER APPL ICAT ION /PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTME14T OF, BUILDING & SAFETY 230r- q.'?33
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS 1PARCELNO.
1.
2.
3.
ER
I NG
4. ADDRESS
DESIGNER
5.
ADDRESS
ZIP
9z
EXPIRES I PHONE
ZIP
Actual bet twKsInFeet to: I
North South I East I West
Size of Parcel zone Glassitication Residential ❑
Commercial ❑
Type Const. Occupancy Sprinklered
Dyes ❑No ❑Req'd.
New Const. Valuation I Remodeled Valuation I Total Bldg. Floor Area
Main Floor I Upper Floors I Garage/ Storage I Greenhouse
9• UTILITIES
CHANGE OF USE FROM
TO
PRIVATE ❑
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
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 compiled with whether specified herein or not. The granting of a permit does not presume to give au-
thority 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
TYPE
SIGNATURE OF CATIONg _ �,
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
7.
t�NEW ❑ ALT. ❑ A}' N. RPL.
OF
❑ MVE.
❑ OTHER
Plan Check
PRELIM. FINAL DATE
Env. Health
�
❑ BLD. ❑ PLMB. MECH. ❑ M.H.
❑ POOL
Certifi. of Exempt. Required
Yes El No❑
Number
WORK
or Variance
Received
Yes❑ No❑
8•S
DESCRIBE WORK
Shorelines/Flood Hazard
Plans Required ❑
MFG.Home
Fire
Yes Not Applic. ❑
Received El
VALUATIONSOURCE
OF
GAS
ELECTRIC
WATER!
PUBLIC ❑
SEWAGE
SEPTIC ❑
Ownership
C:—in—I
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 compiled with whether specified herein or not. The granting of a permit does not presume to give au-
thority 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
SIGNATURE OF CATIONg _ �,
OWNER OR AGENT DATE ,
Mach.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env. Health
SEPA
Modular/
Planning
MFG.Home
Fire
Prevent.
C:—in—I
i
iOther
(Specify)
ities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building I IN 180 DAYS
TOTAL $�—
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.. Q
DATE QUEt 0 Q — " 3 PERMITU. 3-5 z
*20,OO�AL
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