1982, 10-08 Permit: 82A-9287 Masonry ChimneyPLAN NUMBER
APPLICATION/PERMIT
PE
PERMIT NUMBER
_ 2Vo -7
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SPOKANE COUNTY -- gU1LDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
Pj2
Grp
LEGAL DESCRIPTION — SEE ATTACHED
S
L T
-BL5CK
ISUBDIN
%
PARCEL NUMBER/S
2.
#, L; r n
..:
OWNER j
PHONE
��
3
ADDRESS
ZIP
Actual Set Backs in Feet -
North South East West
-
CONTRAC
OR
HONE
Size of Parcel
Zone C
assification
/
'- h ;
-r � -- u
4.
Typ C
Occupancy
Sprinkler d
ADDRESS (
-7-ff
p
nst.
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2,�
i
❑Yes ❑No ❑ Req'd.
1 0 - V T, - P 2
G 4 7 C
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
_
5. ADDRESS
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. El AD'N. El RPL. ❑ MVE,
7, OF ❑ OTHER
BLD. ElPLMB. [--]MECH. ElM.H. 11POOL
`
CERTIFICATE
Req'd.
Rec'tl.
Not Req'd.
WORK
of EXEMPTION
DESCFJIBE WORKI Enum. Dist. Location (Area)
FEES COLLECTED
8 0
VALU SOURCE GAS tl-lif&RIC WATER SEWER lOwnership USE CODE
�TION
OF
9. C/ UTILITIES iPublic ❑ 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 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
Y
DATE OF APPLICATION IGNATURE OF APPLICAN Mech.
SPECIAL APPROVALS SPE AL CONDITIONS -
Plan Check
NAME DAT
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Env. Health 3 �
t37,
I r„/
J SEPA
c
Planning
C
Mobile Home
L
Fire Marshall
Co. Engineer Other (Specify)
Utilities
Plans Examiner
n r,
PERMIT IS NONTRANSFERABLE
TOTAL $ 0
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08 82` 92835
*20,00°�J- -