1982, 11-01 Permit: 82B-480 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
1.
+o
1
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
2.
OWNER
3.
4.
BDIVISION
PARCEL NUMBER/S
PHONE
6z 'q, c?
ADDRESS
- VI -013
CONTRACTOR
ADDRESS
DESIGNER
5. ADDRESS
4-7r°4GT
ZI P
e7Ki C.
Actual Set Backs in Feet
North 'South
East
(West
PHONE
Size of Parcel
Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
6.
CHANGE OF USE FROM
CJ NEW
❑ BLD.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
❑ ALT. ❑/ Jp��' 'N. ❑ RPL. ❑ MVE.
❑ PLMB. LJ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. �1�n� 2N l 'v
VALUATION
9.
SOURCE
OF
UTILITIES
Enum. Dist.
�YV�E (zT
Location (Area)
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
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 presu
to give authority to violate or cancel the provisions of any other state or local law regulating o truction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS / )
DATE OF APPLICATION FV v V i! SIGNATURE OF APPLICAN a .41�L4a!�ii�7// A •
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B �Idhnician
5
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plurybing
ech. 2 �,e-a
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
3Z3 - 4-8e
04*. *2000
*20.006
A *000
47.98
1`1-01-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1?h x-01-8 2
DATE ISSUED
48.05 *20.00° _
PERMIT NO. TOTAL