HomeMy WebLinkAbout1982, 10-25 Permit: 82B-103 Chimney PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT ea low
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
(D)
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS U 2 * * 2 0 0 0
1.
19 1•� tirA►i,i.rly v' LEGAL DESCRIPTION — SEE ATTACHED * 2 0 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
A * C00
G 0
L^r
2. aCO Vt ttWIPC \)Nlk L-i !` G�^ce - t / 3— L 1 O2OWNER PHONE 3
3. �.iiTO ?D \0c:Ai c)e C-11a*-i-Gb1"? 1 0-2S-82
ADDRESS
_ /� 1�4 /� ZIP Actual Set Backs in Feet
d- ) 13 i S \j A�L-t \iv)AV 9 o t(P North $dCithj`-\--iv -.st IWest E 6 a 7 9,
CONTRACTOR PHONE Size of Parcel .one Classification
-,Ame gE) x # 2 (Q At4)
4. ADDRESS ZIP Type Const. Occu ancy Sprinklered
V N \\ 5 ❑Yes ❑No 0 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
], OF ,l EW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. ❑ OTHER
i
WORK 3.-grip. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum, Dist. Location (Area)
8 Y\AC&5cyr\ ?,9 (,;(-Vi, tN tje- - sYe ` tpIA-
FEES COLLECTED
VALUATION 5 URCE GAS ELECTRIC WATER SEWER
OF Ownership SE CODE
9. UTILITIES Public ❑Private 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 2,g
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
DATE OF APPLICATION 3D ,5 1-1 O� SIGNATURE OF APPLICANT C �19'IL taAc7 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA ?'
Planning 2
O
V
- W
Fire Marshall Mobile Home
LT_
Co. Engineer Other (Specify)
Utilities
TOTAL $ 20
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building e. nician PERMIT IS NONTRANSFERABLE o flr
1'0'—'25 --82 10,32 20.0Oa � -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL