1982, 10-18 Permit: 82A-9731 WoodstovePLAN NUMBER
B ADDRESS
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
LOT
BLOCK
S. 3922 Woodruff
SUBDIVISION
OWNER
3 ij i/iier-Donna Schroeder
ADDRESS
Same
4.
CONTRACTOR fR
D#CS7e'A1i --L-C �� 1311ck pop
ADDRESS
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
924-1323
ZIP
99206
PHONE
ZIP
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South East West
Size of Parcel
Type Const.
Occupancy
Valuation
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Main Floor
Upper Floors 1 Garage Area
PERMIT NUMBER
e Aq73j
04* *2000
*20,006
A *0.00
973,02
10-18-82
2 6.4 7 9,
Storage —
Area of Decks
Finished Basement
Un in. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑yy,, AD'N.
EDI MECH.
O RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
DESCRIBE WORK
Wood Stove
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Enum. Dist. !Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
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 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
DATE OF APPLICATI ON�. 0--1
^ v
SPECIAL
—1—
SIGNATURE OF APPLICANT /X-41-1404- /1',L4(9L�l�/
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buildin
C L is
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
20.00
TOTAL $ 20.00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 'r
1\•O i & `8 2
DATE ISSUED PERMIT NO. TOTAL
973.12 *20.00O.� -