1982, 09-16 Permit: 82A-8310 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.
4.
JOB ADDRESS
<3p
(09 (31
LOT
(? -tk.
LEGAL DESCRIPTION - SEE ATTACHED
BLOCK
BDIVISION
PARCEL NUMBER/S
OWNER
ADDRESS
(Q9 I1 9'01 -
CONTRACTOR
PHONE
ZIP
Ca
PHONE
Actual Set Backs in Feet
North 'South
East
(West
Size of Parcel
Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
NEW ❑ ALT.
❑ PLMB.
❑ BLD.
❑ AD' . ❑ RPL. ❑ MVE,
ECH. ❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
• CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. VvL��,)ty� v�tVc) ( (AAr°
VALUATION SOURCE G S ELECTRI
OF
9. UTILITIES
Enum. Dist. !Location (Area)
WATER
SEWER
Ownership
Public O Private
SE 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
Fr �DATE OF APPLICATION/SIGNATUREAPCANT a
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
I
1
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 2o -
PERMIT NUMBER
2 t 3i♦�'
04* *2000
8309
09-16-82
.g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'.9-A16 _8'2.
DATE ISSUED
831.02
PERMIT NO.
*20..0021 -
TOTAL