1981, 11-06 Permit: 81B-1573 ChimneyPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
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APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 6_ 720
)
LEGAL DESCRIPTION — SEE ATTACHED
LOT
B LK
SUB I IS N I I
PARCEL NUMBER/S 1 j_
I J
2.
S 5��iviS(�i�
OWNER
PHONE
3.
ADDRESS`,
ys_'
IPO
ce
Actual Set Backs in Feet
�� Y �/
/
North South
East West
CONTR*
yip ,
HONE
Size of Parcel
Zone Classification
E/
4' ADDRESS
ZIP
TypB
nst.
O cupancy
Sprinklered
I
[]Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation �— CLQ
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
s.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE W
❑ALT. El AD'N. El RPL. C3 MVE.
7, OF
IILJJI BLD.
❑ OTHER
❑ PLMB. 1:1MECH. 1-1M.H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not eq'd.
WORK
of EXEMPTION
DE�RIBE�K Enum. Dist. Location (Area)
8 /�,�- ,PnG. FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. �)V UTI LOITIES I Public ❑ Private Single $
1 hereby certify that 1 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
Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
02* *1000
y 1 C 0
1572"
1 1 -06-81
6,479.
TOTAL $ IQ
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
a
157'3 z
*10,00a0-