1982, 09-21 Permit: 82A-8462 Chimney PLAN NUMBER APPLICATION/PERMIT PERMIT U ER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 6
(t)y
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLI-CANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. - i i 1"7-, Fa-17;0T LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S �F � 02 * * 2 0 0 0
e�l
OWNERP ONE
LC�fiYNiJ r' —71c7 R * l C
3
ADDRESS i Zjp Actual Set Backs in FeetI��� 8 / a
7 �/} 461
( � C-�' � � 1:2A/C> � � North South East West
CO`TRA'CTOp/.. PHONE Size of Parcel Zone Classification (,'Cr 2 1 —8 2
4' ADDRESS'(I�JII(I CCYY�=y ZIP TYp le Courst. O cupancY Sprinklered < 64
iV,(IN Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation 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
6.
,{/ No. Baths No. Stories No. Rooms No. of Dwellings
TYPE
w D ALT. E AD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER
WORK 41
BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not .
d
of EXEMPTION
DESC OR elf, A vf
Enum.Dist. !Location (Area) '
FEES COLLECTED
8
VALUATION SOURCE GAS
ELECTRIC WATER SEWER Ownership USE CODE
9 2-1 7OF
-
UTILITIES ES Public El 41Single $
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
/ — 0 r �', SIGNATURE OF APPLICAN Mech.
DATE OF APPLICATION r
SPECIAL APPROVALS SPECIAL CONDITIONS: 7 '
NAME DATE Plan Check
Env. Health
SEPA ";i-
Planning r
• — J
Mobile Home -_.1
Fire Marshall
Co. Engineer Other (Specify)
Utilities e .
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
-�_ echn'cianr PERMIT IS NONTRANSFERABLE O'9;—.t2'1' '�8'2 46,2 °z *2 OA ¢ �.
��- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL