HomeMy WebLinkAbout1979, 08-17 Permit: 79-2398 ChimneyPLAN 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 4 COPIES
JOB ADDRESS99g
1 ELO1 ppBLOCKCUBD VISION
2.
"OWNER
LEGAL DESCRIPTION — SEE ATTACHED
ccp...13a8 ADOrrloN
3. JAMES tel- MAgy
ADDRESS
E / j'9/9 RtIJF
i
CONTRACTOR
S`/stM e -
ADDRESS
el SS LER-.
C%Z Al AC
PARCEL NUMBER/S 1755z -0131
PHONE
ZIP
Required Set Backs in Feet
North (South
East
West
5.
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
7.
TYPE
OF
WORK
LAS NEW ❑ ALT.
❑ PLMB.
❑ BLD.
PHONE
ZI P
PHONE
ZIP
TO
❑ AD'N.
iffroKECH:
❑ RPL. ❑ MVE. �,/
LI OTHER
❑ M.H. ❑ POOL GJ-}gMNE��
Size of Parcel
Type Const.
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
DWL Area
Split Ent
y
Basement Area
Building Area in Sq. Ft.
Garage Area
Split Level
Storage
Ranche
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. NE -IA) GHIAANEY
VALUATION
9. 'lr
.Zoo �Xy
Fr- i,VooD
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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
performan of construction.
DATE ./7- / ti ? SIGNATURE
DEPT.
SPECIALAPPROVALS SPECIAL CO DITION
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
%AICs olc g- 17-'7
DATE �-r7-71 OFFICIAL -5446b44,
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
cxT
Building %O
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
.
TOTAL $ %0 XY
PERMIT NUMBER
DATE A1nci 12, /477
02* * 1 0.00
* 1 000
* 1 0.006
8 *000
239,72
08-17-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08 17-79
239.8 *10,002F.
RECORD OF INSPECTIONS
TOOS
Final Inspection
DATE REMARKS INSPECTED BY
470,16
08 -1J -JO
.1 s
9
*GOC., 8
• 1oOOR
. 1000 E
05. .1000