1981, 10-07 Permit: 81B-0370 Fireplace(PLAN "UmestH I APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
TYPE NEW 1:1No. Baths No. Stories No. Rooms No. of Dwelling
�'
1�
7, OF OTHER
WORK 1:1 BLD. b ElPLMB. ElMECH. ElM.H. 11❑ALT. El AD'N. ❑ RPL. El MVE. POOL CERTIFICATE Req'd. I Recd. Not Req'd
of EXEMPTION
DESC I WOR i Enum. Dist. Location (Area)
8,¢„ 1) 'C'h1 FEES COLLECTED
"VAUUATION SfOURCE f GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private ❑
Single $
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 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 constructio the
✓performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO NA" Plumbing
DATE OF APPLICATION I� 6 D i♦ SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
g Te icia PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PER NUMtItH
���3—o3ra
�4-* *17,00
*1700 ;n
36.y
6,4 'i
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
L
1p07)-8;1' 37,02
DATE ISSUED PERMIT NO.
*17.00a�
TOTAL
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
LJ
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
�
LEGAL DESCRIPTION —SEE ATTACHED
�r,
LO
BISUBDIVISIONPARCEL
NUMBER/S
2.
O NER
PHONE
3.
ZIP
Actual Set Backs in Feet
/ADDRESS L„�
f G
r t/1
A 66
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Co;;Tj
Occupancy
Sprinklered
❑Yes []No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Ar;7
Storage
CHANGE OF USE FROM
To
Area of Decks
Finished Basement r Unfin.
Basement
TYPE NEW 1:1No. Baths No. Stories No. Rooms No. of Dwelling
�'
1�
7, OF OTHER
WORK 1:1 BLD. b ElPLMB. ElMECH. ElM.H. 11❑ALT. El AD'N. ❑ RPL. El MVE. POOL CERTIFICATE Req'd. I Recd. Not Req'd
of EXEMPTION
DESC I WOR i Enum. Dist. Location (Area)
8,¢„ 1) 'C'h1 FEES COLLECTED
"VAUUATION SfOURCE f GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private ❑
Single $
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 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 constructio the
✓performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO NA" Plumbing
DATE OF APPLICATION I� 6 D i♦ SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
g Te icia PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PER NUMtItH
���3—o3ra
�4-* *17,00
*1700 ;n
36.y
6,4 'i
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
L
1p07)-8;1' 37,02
DATE ISSUED PERMIT NO.
*17.00a�
TOTAL