1981, 01-26 Permit: 81A-814 ChimneyNUMBER
APPLICATION/PERMIT
/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
G
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
1. U� 210- 5 i tit t.E
*1C-00
8 L3
LOT
6 O K
PARCEL NUMBER/S
2. '2-
I 3
ISUBO[VISION
WES-r VALLEY IAn01T»rJ *Z
G 1- 2 6- F 1
OWNER
PHONE
3, WILLIAM ?49915
a24 -53i2
6,479,
ADDRESS
ZIP
Actual Set Backs in Feet
N,--2104- S 11PL.E
ggZ.o6
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
Si.�d1� E
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I
❑Yes ON .❑ 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.
TYPE Lf7 NEW 11 ALT. L✓I AD'N. El RPL. El MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF❑OTHER
BLD. 1:1PLMB. 1:1MECH. ❑ M.H. El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8. MASbN?,V CN1Mn1EY
VALUATION I SOURCEGAS ELECTRIC WATER SEWER Ownership USE CODE
OF
;L)D. D UTILITIES Public El 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 Buildingi��OD
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 INSPECTIONS Plumbing
_
r%ATF nl: ADDI Ir`A-r1nrl I 1 CI(_r,IATI Mr (1C ADDI IPANIT �A /•l�. ■ W! ✓'r- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ W, on
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
u ing`ech�ciar� ` r PERMIT IS NONTRANSFERABLE Q 1�-2 6' — 81' 8 L 4 Z * 110 0 a0. -