1982, 11-30 Permit: 82B-1451 FireplacePLAN NUMBER APPLICATION/PERMIT
PERMIT NUMB+ER
{i
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 ADDRESS
4'Ajek, &&a/
LEGAL DESCRIPTION -SEE ATTACHED
�8 /V k e Q�
LOT BLOCK
PARCEL NUMBER/S
ISUBDIVISION
2. I
NER PHONE
3.
A DRESS ((`�l�y� 'np
� PPL -Re
ZIP �/
Actual Set Backs in Feet
1(. 19) _ CiU!
.t o
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
�A-M
�QDN -e—❑Yes
❑No ❑ Req'd.
DESIGNER LL G
PHONE
Valuation
Building Area in Sq. Ft.
5. k TeiSq
a - 7
_
ODRE SZIP
Main Floor
Upper Floors
Garage Area
Storage
r0, 0 Al e tA l
04 *2000
* 2 0. 0 0
HANGE OF USE FROM
O
F��e. Pi�Aee �+-�e
Area of Decks
Finished Basement
Unfin. Basement
6• 4i R�
Atw.
* J
TYPE IY�NEW ❑ ALT. ❑ N. ❑ RPL. ❑ MVE.
No. Baths No. Stories No. Rooms No. of Dwellings
7, OF ❑ OTHER
El BLD. El PLMB. �J MECH. ❑ M.H. ❑ POOL
CERTIFICATE Req'd. Recd. Not Req'd.
1 (I. 5 C -`
WORK
of EXEMPTION
1 1 -30-82
DESCRIBE WORK
4 PLAC-e-
Enum. Dist.
Location (Area) FEES COLLECTED
8. -t ���¢'� 1ru to I per
64?9.
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private ❑
I 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 INSPECTIO S Plumbing
OF
p
Z.Q 15A Q (.9-k{- �1 Mech.
DATE OF APPLICATION ' SIGNATURE OF APPLICANT l&�
SPECIAL APPROVALSI SPECIAL CONDITIONS:
ATE
. NAME D
Env. Health
Planning
Fire Marshall
Co. Engineer
ns Examiner
ding Tec i ian I PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ V
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES'A PERMIT.
214 5.1 z
DATE ISSUED PFRMIT NO.
*20,0.0(°'.12.
TOTAL
a
C
L
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ILL