1982, 11-01 Permit: 82B-0433 WoodstovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS H.L.RD TO MAKE 3 COPIES
JOB ADDRESS
1.
155 lct
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
2.
OWNER
3 .t.) . . � MLA LLCce--
ADDRESS
E.. IS51G S�'K
PARCEL NUMBER/S
PHONE
ctz4 -r;-.-
ZIP
GjctZ1(o
Actual Set Backs in Feet
North 'South [East (West
CONTRACTOR
4. ry&
ADDRESS
YV1i�
DESIGNER
5. ADDRESS
PHONE
Size of Parcel
Zone Classification
ZI P
Type Const.
Occupancy
Sprinklered
ales ❑No ❑ Req'd.
PHONE
Valuation
SCD"`'
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
EW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ OTHER
BLD. ❑ PLMB. LJ MECH. ❑ M.H. ❑ POOL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. kdO i`].-rc:Dt-DE
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
eilr•.,,>�y
WATER
Enum. Dist.
'Location (Area)
SEWER
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 Cansttion or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /
DATE OF APPLICATIONX_____2"-- SIGNATURE OF APPLICANT M
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B ildi�n Technician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
(/Al umbing
TVlch.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 40'
PERMIT NUMBER
i?)Z--15- Q4-33
02* *2000
04* *2000
*4000
*40006
A *0.00
43.2s
1'1 -01 -82
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'111-01-82 43.3z *40,00a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL