1980, 10-07 Permit: 80B-1546 ChimneyPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS 316 So. Rees Court (4th & Adams) LEGAL DESCRIPTION — SEE ATTACHED
1.
LOT BLOCK SUBDIVISION I PARCEL NUMBER/S
2.
OWNER Robert Vlanier 92
3ONE
. 6-0991
ADDRESS 316 So. Rees Court ZIP
CONTRACTOR
Valley Fire
4. ADDRESS E. 16610 S
Veradale,
Ave.
DESIGNER
Contraotor Speoialty
5' ADDRESS No. VA LL a 626 OTMN
CHANGE OF USE FROM TO
PHONE
922-2780
ZIP
99037
PHONE
ZIP
I vrt ❑ NEW ❑ ALT. ❑ AO'N. ❑ RPL. ❑ MVE.
OF
% WORK "❑ BLD. ❑ PLMB. 1-1MECH: ❑ M.H. ❑ POOL ® OTHER
equired Set Backs in Feet
Orth South
East West
ize of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
aluation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
I
FEES COLLECTED
8. --- ----- r- --- --- ,..,.. .,.a� "4wj •
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. utilities 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 w regulatin const on or the
performs ce of con�tructlop�,�, P ing
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE OFFICIAL
SEPA
Mobile Home
Other (Specify)
TOTAL $ �,
PERMIT,81
SOB — mq(,
�4* *7,00
*700y
A t 1. t_ i.l �7
151l5�
1 -07-80
6,4 79.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
a 611 ri
J