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1983, 07-21 Permit: 83A-6773 Chimney PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY —'�UILDING CODES DEPARTMENT ��`'77 C____.i NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB • I S LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK S DIVIS ONCCL- PARCEL NUMBER/S 2. • R HONE 3. ' �o rt_ (5121/-37-7 L . ADDRESS ZIP Actual Set Backs in Feet North (South East (West CTO n . /gyp 3 E'OI� Size of Parcel Zone Classification 4' AD RESS ,`` ' +(/`�/��ij� Zyf�,�j Type Const. Occupancy Sprinklered ,II Z31 1 Du«Ick. 1 IQ Oyes ❑No 0 Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. v 4 2 0 0 0 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage * 2 0.0 0 chi — A * 0 r 0 CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement ' 6. 677 % _c TYPE No. Baths No. Stories No. Rooms No. of Dwellings InEW ALT. 0 AD'N. 0 RPL. 0 MVE. 0 7—2'1 —8 3 7, OF 0 OTHER - WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. ,7 o of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) r 8 -►—► i`JTAL-L_.. A4,nK q G. c3W , r` E \/ ntS r )j_ lx, FEES COLLECTED VALUATION SOURCE GAS ELE TRIC WATER SEWER ownership USE CODE OF 9. UTILITIES Public 0 Private 0 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building 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 l �' DATE OF APPLICATION - `iq 463 SIGNATURE OF APPLICANT QG� Mech. ,�I 7 r. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA Planning p J Fire Marshall Mobile Home Cc_ Co. Engineer Other(Specify) Utilities TOTAL $ Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. AllIiik B .`r+illa i.an Q' , PERMIT IS NONTRANSFERABLE �'? �'�.l'-8g3. 6 7 7 3 z * 2 0' d — A, PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL