1982, 11-08 Permit: 82B-741 WoodstovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3.
JOB ADDRESS
LOT SUBDIVISION
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
ADDRESS
- C„..710
I
I U t Lr 1V„VI zzioAsy3
CONTRA TOR
PHONE
91P
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
East 'West
PHONE
Size of Parcel 1 Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation 1Building Area in Sq. Ft.
ZIP
Main Floor I Upper Floors ( Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
.1 NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. ZMECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
R ec'd.
Not Req'd.
DESCRI E WORK
8. (r 01O
Enum, Dist.
1 Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE"
on reverse side, and know the same to be true and correct. All provisions of laws and or
of work will be complied with whether specified herein or not. The granting of a
eive authority to violate or cancel the provisions of any other state or local law re
rformance of construction. SEEM REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION // L� �/ SIGNATURE OF APPLICANT
SPECIAL APPROVALS I SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ovisions included
ance o erning this
me
the
FEES COLLECTED
Single $
Building
Plumbing
'Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
n
TOTAL $ � '
PERMIT NUMBER
-7.1
G4* *2000
*20006
*000 8
74.02
11-08-82
g 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11-08-82
DATE ISSUED
7415 *20.00
O
a F- -
PERMIT NO. TOTAL
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