1982, 12-10 Permit: 82B-1841 FireplacePLAN NUMBER I AF'F'L IUA 1 IUN / FLKM I1
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
STREET ADDRESS PARCEL NO.
1•,a. 12610 Lenora t
LOT BLOCK I SUBDIVISION LEGAL DESCRIPTION:
2.
SPECIAL APPROVALS SPECIAL NDITIONS: EE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Utilities
SEPA
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech ing fl�l r 1 E� IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
PERMIT NUMBER.
S-�a -ik1
TOTAL $
WHEN MACHINE VALIDATED IN THIS S
THIS BECOMES A PERMIT.
DATE I Sp EB 1 O B 2 PERMIT J 41 z * O O O TOTAL
u
OWNER . ..,
d:, m� ke ight
PHO
X26-0531
PHONE
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
_:. 12610 Lenora
North South East
West
CONTRALTO
�al.le'! Fireplace Inc.
LICENSE EXPIRES
Pµ"
yGE"278�
Size of Parcel
Zone Classification
Residential ❑
4.
Commercial
ADDRESS
ZIP
Type Const. Occupancy
Sprinklered
L. 16610 S7rague k7a.
99037
1
Dyes ❑No ❑Req'd.
DESIGNER Voradale , ,;A
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
�;
ADDRESS S 2 6 Q' 1
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Fin. Basement
Unfin. Basement
s.
fft::
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7.
OF El OTHER
WORK ❑ BLD. ❑ PLMB. ElMECH. ElM.H. El POOL
Certifi.ofExempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes ❑ No ❑
8.
DESCRIBE WORK
heartth, and prefabricated chinney
Shorelines/ Flood Hazard
Plans Required ❑
Yes Not Applic.❑
Received ❑
VALUATION
I SOOUFCE
GAS
ELECTRIC
WATER
PUBLIC ❑
1
SEWAGE
SEPTIC ❑
Ownership
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private ❑
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-
Building
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVS S DE FOR R QUI D INSPECTIO
Plumbing
SIGNATURE OF ' APPLICATION / �% _ -7
OWNER nR AGFNT DATE
Mach.
SPECIAL APPROVALS SPECIAL NDITIONS: EE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Utilities
SEPA
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech ing fl�l r 1 E� IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
PERMIT NUMBER.
S-�a -ik1
TOTAL $
WHEN MACHINE VALIDATED IN THIS S
THIS BECOMES A PERMIT.
DATE I Sp EB 1 O B 2 PERMIT J 41 z * O O O TOTAL
u