1981, 04-23 Permit: 81A-3836 Chimney, Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
/1/23/g/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT 4 g%A_'38
elNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB DRESS e
j L C �♦ � LEGAL DESCRIPTION — SEE ATTACHED 0 2 * * 1';a,0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 0. 0 0
2.
O ER ] PHONE
Z.4.54 "" 1' * 1 0 0
3. %2,f ,.,., ' A * 0 0 0 ES
ADDRE l/ /;� / ZIP .� Actual Set Backs in Feet 3 3 4
5 //G T ' 1.s/ GA'( Te/� 99 2� North (South East (West
CO TRACTOR PHONE Size of Parcel Zone Classification 0 4 2 3-8 1
4. I P/24(Ac ,- Go £L.-Z l7 yf> 5 9 W - 6 4 7 9,
A RESS1 //�� ` ZIP Type Const. Occupancy Sprinklered z4 / 4j99 12,43 ❑Yes ❑No ❑ Req'd. 0 4 * * 1 7, 0 0
DESIGNER PHONE Valuatign Building Area in Sq. Ft.
.BOO- ' * 1 7. 0 0
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
---7. t---, �. -----.- * 1 7,0 0
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin, Basement A * 0 `J 0 2
6.
TYPE ❑ No.Baths No. Stories No. Rooms No. of Dwellings 3 8 3. 5�?
NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF
WORK 0 BLD. ElPLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER -
CERTIFICATE Req'd. Rec'd. Not q'd. 0 4--2 3-8 1
of EXEMPTION •V/RQ4
ESCRIBE WORK , Enum. Dist. I Location (Area) ' FEES COLLECTED
8. , ,27.7'0�e/y `,/.i>zX2��(,�� I
ASOCYC)°.
ALUATIIOON SOURCE GAS/ ELECTRIC WATER SE EROwnership USE CODE
UTILITIES '�� Public ❑Private l 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 11b,e
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 REVERSErSIDE FOR REQUIRED INSPECTIONS 1 Plumbing
DATE OF APPLICATION a d / SIGNATURE OF APPLICANT r � 4J Mech. itll `°°
SPECIAL APPROVALS SPECIAL CONDITIONS:4.
NAME DATE Plan Check
Env. Health
SEPA t y'
a
Planning O
U
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
"' e5 kc
Utilities
TOTAL $ A'74-6
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
2#
Buildin . )- -
ech�n+ician PERMIT IS NONTRANSFERABLE O 41'7'2'3':-81' 3 8'3.6 z *2 7.0 0 a F
:1 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL