1980, 11-12 Permit: 80B-3556 FireplaceAPPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS:HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBLYIVISION PARCEL NUMBER/S
OWNER
3. ADDFE.
R
17 • PHONE
ZIP Actual Set Backs in
North Sol
PHONE Size of Parcel
ne
4' —7
D RESS
ZIP
Type Const.
Occupancy
Sprinklered
4/41:4P
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area I
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
Baths
No. Stories
No. Rooms
No. of Dwelling
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
1-1 BLD. 1-1PLMB. j( MECH. ClM.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
8. ) y
VALUATION
SOURCE
AS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9. "`—
OF
UTILITIES
I
Public CI Private ❑
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
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 INSPEC/TII'OONSy
Plumbing
rl!!TF (1F PPI Ir:OTICIN JI —IJ `�. /� SIl;NOTI IRF (1F APPI I(`AAIT /"/%ble%' � A^'I"t.t1
Mech. ,. ..�
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
gineer
Utilities
Plans Examiner
SEPA Checklist
B]ding Teconicia
w., --,
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
[;.* *7.00
*700Y
0, CD
355,52'
i1-12-80
6479.
TOTAL $'
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11 +.'}2. -18 `0' 3:5,5-4 z