1982, 09-16 Permit: 82A-8293 Masonry ChimneyAPPLICATION/ PERMIT
PERMIT NUMBER
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 A�DRI:S
IYi'"" LEGAL DESCRIPTION —SEE ATTACHED
� sV
LOT I BLOCK B ION PARCEL NUMBER/S
2.l 1 I �; ►J� fs5�t' S ice•
U 2* *2C,00
OWNE off' o� 2
2 0, o o
PH E
s '
.Q
* cn
A 0
3.
ADDRE �J Actual Set Backs in Feet
&
8 2 9 2 7
vim°'f)
North South East West
CONTRAQB PHONE I Size of Parcel Z ne Classification
09-16-82
4. ADDRESS ZIP TYje Const. cc ancy Sprinklered
= 6479.
N ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5'
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
_
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin- Basement
6.
TYPE �/ No. Baths No. Stories No. Rooms No. of Dwellings
IE1 NEW 1-1 ALT. �D'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK EBLD. ElPLMB. 1:1MECH. 1-1M.H. 1-1POOL CERTIFICATE Req'd. I Recd. Notq'd.
of EXEMPTION
DESCRIBE WqJRK Enum. Dist. Location (Area) FEES COLLECTED
s.
VALUATION SOURCE GAS ELECTRIC WATER I SEWER Ownership SE CODE
9.�� UTILOITIES Public ❑ Private Single $
1 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
Building
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
9
DATE OF APPLICATION SIGNATURE OF APPLICANT,4L-_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
>
o
Planning
C
C
Fire Marshall Mobile Home
_
u
U
Co. Engineer Other (Specify)
Utilities
2
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Build m ni an PERMIT IS NONTRANSFERABLE Q'.'(� -136. ••:8.2
ti
H 2 9,'3 z *'2 10 0.Q F.
v
' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO. TOTAL