1982, 12-09 Permit: M82B-1812 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
JOB ADDRESS
LEGAL DESCRIPTION —SEE ATTACHED
LOT BLOCK ISUBDIVISION 0 PARCEL NUMBER/5
2.
0, 1tVER
3. �Lt'A-V,t14'f—:
ADDRESS
111:",
6
Z
2 A/,
Actual Set Backs in Feet
N^0
i /,
North South East
West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
A y^
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No-. of Dwellings
TYPE El NEW El ALT. El AD'N. El RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
Jj �y f
8- " -i / �✓ j '=
VALUATION
SOURCEGAS
ELECTRIC
WATER
SEWER
Ownership
USE CFODE
9.
I UTILOI S
Public ❑Private El
Single $
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
Building
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 INSPECTIO
Plumbing
Z'2
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALSI
SPECIAL CONDITIONS: o
NAME DATE
Plan Check
ning
Mar
neer
Utilities
Plans Examiner
SEPA
Mobile Home
Other (Specify)
TOTA L $ f 0
PERMIT NUMBER
04* *20,00
*20,00
A *0,00
181,1
12-10-82
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'�uilding echnicia PERMIT IS NONTRANSFERABLE 12 — 0 — 8 25 1 81. 2 2 * 2 �. ° P- -