1981, 09-16 Permit: 81A-9401 FireplacePLAN NUMBER APPLICATION/ PERMIT
PERMIT NUMBER
i� 24-01
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
(� 1 7. 0 0
JOB ADDRESS
LEGAL DESCRIPTION —SEE ATTACHED
1. N. 530 u'reenacr �'s lid
* 1 7,00
LOT
BLOCKISUBDIVISION
PARCEL NUMBER/S
2.
* 1 70061
A *C.00 �
OWNER
PHONE
92�-1591
.:a
3 lbc;r` ta},s
9 4 C, 02
.
ADDRESS
ZIP
Actual Set Backs in Feet
I!, er'.>3C) '•-r-:er?.2.Cros '-' d. CrrE.E3:2iiGrf;S '.I.t?.
99016
North South East West
0 9 - 1 6 - 8 1
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
Valley Fireplace, In
922-2780
� 6479,
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
�s 1.61.0 S--)ra,"Lue Ave, �l era�.7 i3_.L F: 'r'i
9903ry
❑Yes ❑No ❑ Req'd.
—
DESIGNER 'Contractor Snemielty
PHONE
Valuation
Building Area in Sq. Ft.
5. ADDRESS N10° a"' `'' -
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE ❑NEW ALT. 11 AWN. MVE.
❑❑ ❑
7, OF ❑OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
WORK
of EXEMPTION
I
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8. IxiStal.1 Chinook I''7.Y'113 )lV,0a rrinro-f'ab. chirlYte
VALUATION SOURCE GAS ELECTRIC WATER SEWER USE CODE
Ownership
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
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
/p/erformance
JA6 Mech.
,/DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVAL ECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health Ready now for in3pE)o ul on.
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
` Te i is
PERMIT IS NONTRANSFERABLE
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
09-16-81 940.15
*I-Z00a�'-