1982, 11-19 Permit: 82B-1249 WoodstovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
E. 10604 46th Avenue
LOT
2.
BLOCK
SUBDIVISION
OWNER
3 D. Humphreys
MAILING ADDRESS
Same
PHONE
CONTRACTOR
4.
ADDRESS
LICENSE EXPIRES
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
6.
PHONE
922-5957
ZIP
99206
PHONE
ZIP
PHONE
ZIP
TO
TYPE 7 NEW O ALT. O AD' N. T RPL. MVE.
7 OF 0 OTHER
WORK BLD. ❑ PLMB. IX MECH. M.H. 7l POOL
PARCEL NO.
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North South East West
Size of Parcel
Type Const.
Occupancy
New Const. Valuation
Main Floor
Cover Deck
Zone Classification
Residential L:
Commercial E.
Sprinklered
EYes ENo EReq'd.
Total Bldg. Floor Area
Remodeled Valuation
Upper Floors Garage/Storage
Uncv. Deck
No. Baths
No. Floors
Certifi. of Exempt.
or Variance
8. Wood Stove
DESCRIBE WORK
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC Cl
PRIVATE E
SEWAGE
SEPTIC fl
SEWER 7
Greenhouse
Fin. Basement
No. Fin. Rooms
Required YesE No❑
Received YesO No0
Shorelines/Flood Hazard
Yes J Not Applic.
Ownership
Public E. Private
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 au-
thority 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
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE 11J19/_
SPECIAL APPROVALS
• PRELIM. FINAL DATE
Env. Health
Plar ring
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number
Plans Required r:
Received
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
20,00
20.00
TOTAL $
PERMIT NUMBER
-
u1 *
124.8 2.
1 1 --1 9-82
6479.
*20.00
*20..00-
*000 8
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEUSSUED` 9 - 8 2
PERMIT/Ng. 4 9 d* 2 O. 0 0 �O AL