1979, 09-26 Permit: 79-4731 Fireplace, 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
B ADDRESS
2307
LOT
2.
77 e
SUBDI (SIO
N
BLOCK
4A-7 74
LEGAL DESCRIPTION — SEE ATTACHED
DDRESS p
cS 4 7 «o-1'.eL-ir-ci /Q,n-tiLd
CO RACTOR
/d�vu
e
PHONE
926 -1241
ZIP
PARCEL NUMBER/S
Required Set Backs In Feet
North (South East 'West
PHONE
Size of Parcel
Zone Classification
AD
RESS
414/24., ^, n
ZIP
Type Cons
Occupancy
Sprin kl a red
Dyes DNo D Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
D NEW D ALT. D AD N. 0 RPL. 0 MVE.
D BLD. 0 PLMB. MECH: 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Room
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd
Recd
Not Req'd
DESCRIBE WOR
8.
VALUATION
9. Co 3D
Source
of
Utilities
GAS
(2-1144uaxt
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
performance of construction. �(/}�� n0
DATE 9-2S — 7'9"SIGNATURE /' 24-,e&rfl
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. /
Plan Check
SEPA
Mobile Home
Other (Specify)
^n
TOTAL $ 7
M
PERMIT NUMBER
79 - .e/73/
DATE q— ;25— — 77
04*
*7.00
#7.00 ti
470�
09-26=79
6479.
473.12
09-26-79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 9i_;2 6!-',7'9 4,7 3:1 Z *7.0'012:.