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1982, 08-31 Permit: 82A-7685 ChimneyPLAN NUMBER I APPLICATION/PERMIT SPOKANE COUNTY — 13UILDING CODES DEPARTMENT NORTH 811 JEFFERSON/ SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOBAO RESS G LEGAL DESCRIPTION — SEE ATTACHED tt LOT I B O KUB I OQ`N '' PARCEL NUMBER/S x j _ ir OWNER 3. ADD_rj9SS CO NTC 4. ADDRESS DESIGNER 5 4 =O Z ZIP Actual Set Backs in FeetI INL✓I 2 Storage CHANGE OF USE FROM TO Area of Decks Finished North South East West PHONE Size of Parcel Zone Classification ZIP No. Stories Type�CInst. No. of Dwellings ccucy Sprinklered VV 7, OF �/ I ,� 11 OTHER LD. ❑ PLMB. ❑ MECH. ❑ M.H. POOL ❑Yes ❑No ❑ Req'd. PHONE Req'd. Valuation Building Area in Sq. Ft. PERMIT NUMBER ADDRESS ZIP Main Floor I 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 ��/ YJ NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF �/ I ,� 11 OTHER LD. ❑ PLMB. ❑ MECH. ❑ M.H. POOL CERTIFICATE Req'd. Re cd. Not 'd. q WORK of EXEMPTION DESC R jQ.E WORK Enum. Dist. Location (Area) yy�, FEES COLLECTED 8 VALUARFION SOURCES GAS LECTRIC WATER SEWER Ownership USE CODE OF 9. 1UTILITIEPublic ElPrivate Single $ 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 2© 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 INSPECTION Plumbing y DATE OF APPLICATION—L—SIGNATURE OF APPLICAN [��� Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA Planning Mobile Home Fire Marshall Co. Engineer Other (Specify) Utilities TOTAL $� Plans Examiner IN THIS SPACE, WHEN MACHINE VALIDATED SEPA Checklist THIS BECOMES A PERMIT. i B e nic n w PERMIT IS NONTRANSFERABLE 0 8 -+ -r'8 2 7 6 8. 5 z * 2 Q, 0 Q a N,