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1980, 10-22 Permit: 80B-2491 Chimney _AN NUMBER 1 ,,/ APPLICATION/PERMIT IPEr'KIT NUMBER a�/�� SPOKANE COUNTY — BUILDING CODES DEPARTMENT I �v �2.1/-* (DJ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES J ADDRESS �^ ,- LEGAL�' LEGAL DESCRIPTION — SEE ATTACHED 0 ,. LOT BLOCK SUBDIVISION PARCEL NUMBER/S 1, 4 4 `/ ;, 2. O NER — C PHONE —G 23. - ., .�e� 6, ' u�.. 9: ©7 h a 7(;', ADDRESS , /�,r1 ZIP Actual Set Backs in Feet pf i 2S' .tejl,-{l✓�4`'(.Y'i�"'R.,€)-a i'6/-/-/-7.44,„ qq 7 North 'SouthEast IWest CONTRACTOR PHONE Size of Parcel Zone Classification 344-44.47 AQDRESS ZIP Type Const. Occupancy Sprinklered PL,;-, 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. 0 RPL. 0 MVE. 7. OF 0 OTHER Req'd. Recd. Not Req'd. WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE of EXEMPTION `^`/''J-�EESS.CCRIBE WORK "/`'�>' �'{� ��(�{y' /6v' Enum.Dist. Location (Area) FEES COLLECTED 8 VALUA OUOVE S�✓1II ,�EaLQQE��Cc��TRIC, rt..l./r. RV "SEWER Ownership I USE CODE L' '- LITIES l�yVPublic ❑Private 0��� UTILITIES / 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 thisBuilding / 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 regulatin, construction or the performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTI(�AIS Plumbing DATE OF APPLICATION Le)—.2-2--w SIGNATURE OF APPLICANT --2;7"--: ,Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA > Planning C) _ U Mobile Home W Fire Marshall Co. Engineer Other(Specify) Utilities TOTAL u6/,' d(] f j,"- Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. ing Tech icia / PERMIT IS NONTRANSFERABLE i 0:!. � 2 `' '' ..;�'0� 4 9 1.a * 1 Q, a BAA- / i/4�� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL