1980, 03-24 Permit: 80-2607 FireplacePLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT �0�2.607
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
Actual Set Backs in Feet
LEGAL DESCRIPTION — SEE ATTACHED
t.5
E
1
I -2-/
North South
LOT
BL K
BDIVISION
PARCEL NUMBER/S
2.
Zone Classification
OWNER
PHONE
3. MIKEL
— 3 34 41
Type Const.
ADDRESS
ZIP
Actual Set Backs in Feet
S2—
0
1
I -2-/
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
Elyes ❑No 1-1 Req'd.
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 E,�,
L9�//NEW
1:1 ALT. AD'N. ❑ RPL.
❑ MVE.
7.
1:1 BLD.
�❑
ElPLMB. L'7 MECH. 1-1M.H.
❑ POOL OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8. F /L}
VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES Public ❑ 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 I ,and ordinances governing this Building
type of work will be complied with whether specified herein or not. The gra ing f a permit does not presume
to give authority to violate or cancel the provisions of any other state or loca law regulating construction or the
performance of construction. SEE REVERSE
'/SIDE FOR REQUIRED INSPECT Plumbing
DATE OF APPLICATION, /1 SIGNATURE OF APPLICANT ech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
gineer
Utilities
Plans Examiner
SEPA Checklist
ng I ecnn
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)-
--700—
TOTAL
Specify)'"-700TOTAL $ / X,r
* 7,0 0 K
260,6-2
s 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
124_"8 '0 6 0. 7 7,3
*.7. 0 0 ° i