HomeMy WebLinkAbout1983, 03-31 Permit: 83A-2448 FireplacePLAN NUMBER APPLIICATION /PERMIT I PERMIT NUM E ,
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
STREETADDRESS 12010 ' a'ir41:'.`."+ PARCEL NO.
LOT I BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNERPHONE,_s--9rn
l if f .'rank
PHONE
3.
MAILING ADDRESS _0 12010 1'O.irvz %;'!
ZIP 99206
Actual Set Backs in Feet to:
North South East
West
CONTRACTOR
alley Fireplace
LICff PIRES
PHON 2 r
922- 78.:
Size of Parcel
ZoneClassification
Residential ❑
4
Commercial ❑
ADDRESS iCl0 S^ra, rs. �- A,t
ZIP 9037
Type Const. Occupancy
Sprinklered
-
El yes ❑No ❑Req'd.
DESIGNER ..ra a e ,P
E
M -2780
New Const. Valuation
Remodeled Valuation
Total Bld Floor Area
g.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE ❑NEW El ALT. El AD'N. El RPL. El MVE.
7
OF El OTHER
WORK 11 BLD. 171 PLMB. El MECH. 11 M.H. El POOL
Certifi. of Exempt.
Required
Yes No
Number
or Variance
Received
Yes NO ❑
DESCRIBE WORK a Opi .tet r ire � ace _lur ;ace nsZx
Shorelines/ Flood Hazard
Plans Required ❑
8.
.^ .-:asonary fir"nl.ace.
Yes❑ Not Applic. ❑
Received ❑
VALUATION
I SOOUFCE
GAS
ELECTRIC
PULC WATER
SE TCO
Ownership
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
SEWER ❑
Public Ci Private O
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 type of
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority 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 INSP CTIONS
Plumbing
SIGNATURE OF
APPLICATION /_ 1�
_
OWNER OR AGENT t -
DATE c7!
Mech.t
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Prevent.
Engineer
Utilities
SEPA
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building 7 IN 180 DAYS
Tech. 7 .. R
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
3-31-;lj�? ?44.8z
DATE ISSUED PERMIT NO.
*2(J.Uua"�
TOTAL
Y
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W
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