1982, 06-22 Permit: 82A-5262 WoodstovePLAN NUMBER
J
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
t-
LOT BLOCK SU DIVISION
OWNER
3. �1�o►Jl
4.
ADDRESS
CONTRACTOR
(-1 r"
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
S3�- 72
PARCEL NUMBER/S
ZIP Actual
Actual Set Backs in Feet
""L'�\ - North (South East (West
ADDRESS
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
'NEW
❑ BLD.
DESCRIBE WORK
PHONE
ZIP
PHONE
ZIP
TO
❑ ALT. ❑ AAD'N. ❑ RPL. ❑ MVE.
❑ PLMB. �1 MECH. ❑ M.H. ❑ POOL
❑ OTHER
Size of Parcel Zone Classification
Type Const.
Occupancy
Valuation
Main Floor
Sprinklered
❑Yes ❑No ❑ Req'd.
Upper Floors
Area of Decks
Building Area in Sq. Ft.
Garage Area
Storage
Finished Basement Unfin. Basement
s. ilclvc70'-r rJ t ,\.) C\ S— o •J
VALUATION SOURCE GAS
OF
9. UTILITIES
ELECTRIC
WATER
SEWER
No. Baths
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
No. Rooms
No. of Dwellings
Req'd. Rec'd.
Not Req'd.
Location (Area)
Ownership USE CODE
Public 0 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 authority to violate or cancel the provisions of any other state or local law regulating construction .r the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATIOQ, �Q —p` Oi SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklis
B ing hnician
SPECIAL CONDITIONS:
PERMIT IS -NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. .020—Gr,
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 20 .00
p
PERMIT NUMBER
e22 — 5
04* *2000
*20.006
A *0,00
5261R
06-22-82
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Okr
-'21.?'- 8' 2:
526,22
DATE ISSUED PERMIT NO.
*2a00°I
TOTAL