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1982, 04-05 Permit: 82A-2521 Chimney PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT 5'2 A-25 2 , NORTH 811 JEFFERSON / SPOIc'ANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS i - * * 2 !c' 0 0 1. .S. 'tDCn V/EFZ,.C: l.,pR. LEGAL DESCRIPTION — SEE ATTACHED * c C ;v 0 J LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2 * C V' Dry OWNER PHONE Jo AN 514g-tt_c,_ kR°us cz2- 11Z ; 3 ADDRESS e ZIP Actual Set Backs in Feet /.U 5. 7Ot�S vEi�G.Laz. 19 Z,th North (SouthEast 'West CONTRACTOR PHONE Size of Parcel Zone Classification - `l — 55- 82 4. • = 6.[I .9 ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑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 D ALT. C2-AD'N. 0 RPL. 0 MVE. 7• OF ^/D. 0 PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER L� CERTIFICATE Req'd. Red- Not Req'd. WORK BLc of EXEMPTION DESCRIBE WORK Enum.Dist. I Location (Area) 8. N J M 4—rr J}>Fd7 k y(JS�NC �.I S)I C FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. *CA) UTILOITIES Public ❑Private 0 Sin le $ s 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 �0 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 .� SIGNATURE OF APPLICANT, -AA /' /66-C..L.0 Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA n_ Planning v <.J Mobile Home — .. "Fire iViiarsnaii i1 Co. Engineer Other (Specify) UtilitiesC� TOTAL $ .ZO Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. y Building Technician PERMIT IS NONTRANSFERABLE 0''4 1 JG-'8 24 2 5'2,1 Z *2 a 0'0.2 F PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL ,