1982, 09-27 Permit: 82A-8703 Chimney PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT f�7��` � ��
0 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. `..7. I� IC tS c.,--fir...1.trz,r,1.? hp- , - LEGAL DESCRIPTION — SEE ATTACHED 0 2 * * 2 0.0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S :-----74- 4-3 d c�-t O 8 7 Q,3 9
2. �[E� >! �/p{� afal * PHONE- Ac : -10-4V----e7�Q ` 09-27-82
OW NII I f�`� \ 1 7A c)��2-
3 ADDRESS Y1 �`�+� Actual Set Backs in Feet ` S'r1Nc-1 6.4 / 9.
[7,10 )'` ' '/ G North 'South East 'West
CONTR T R PHONE Size of Parcel Zon�Classification
4.
ADDRESS ZIP Type Const. Occupancy Sprinklered
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.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7. OF � 0 OTHER
u OL
Req'd. Recd. Not d.
WORK
/ D. 0 PLMB. 0 MECH. 0 M.H. I=1 POOL CERTIFICATE
of EXEMPTION
DESCRIBE WOREnum. Dist. Location (Area) ' FEES COLLECTED
VALUATION SOURCE GAS EL CTRIC WATER SEWER
Ownership .,,,,,,USE CODE
OF
9. UTILITIES Public ❑Private YJ
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 1' I
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 INSPECTIO ,,t_?it 0J1/44-._—k. 'Y Plumbing
7 - • ' Mech.
DATE OF APPLICATION 7 SIGNATURE OF APPLICANT . .
SPECIAL APPROVALS I, SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA rt.
Planning U
Fire Marshall tAJ
Mobile Home __I
W
Co. Engineer Other(Specify)
Utilities
TOTAL $ .7.-:-6 •
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
f ni f� PERMIT IS NONTRANSFERABLE 09727 -82. 87 a 4 Z *2 a 0 U a F
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL