Loading...
1991, 01-08 Permit: 91000077 Chimney SPOKANE COUNTY DEPATMeENT OF BUILDINGS W.1303 BROADWAY AVENUE SPOKANE,WASHINGTON 99260 (509)456-3675 I certify that I have examined this permit/application,state that the information containein it and submitted by me or my agent to compile said permit/application is true and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.I understand that the issua. - .f this permit - ' • .-and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel .- .rovisi, sof an ; e or local la ,regulating c.•struction,or as a warranty of conformance with the provisions of any state or local laws regulating constructio \ /� \ SIGNATURE OF APPLICATION OWNER OR AGEN _ L__— DATE / U 'p . ., ,:,.j.1111... :••. :,:•. i'ji .,1111.,1111 DATE= ������-.3.a:.?{::.?.: { rt1,=r•{ {{::.�':;1111 ••r='{ ±:J+: :!?:1 r � * ********* **** **.k********11 ... .. ... as- :�. .±. .. v .: •. i:•,. ., •.• , i lj•"r ± )' 1 }2'i±i:- ) 1 ) {-i._{'':t{ !, i ({v!•�;.t;;{•?t••t ! t.?.i 1••3 is'..�.�.':R•�j.)j.:!j..)j.):..ij..)i•;il;1111}I,ji.!!1••j?};IF�-F:liF." F`:' ... .. SITE ,... <.,......., ,. .. n ` 1111. ,. 1 . t.;±'..pp 1 = -4',?.< ,' i 1 i.:R{,:I i.:: I't D i'`% I..C i 1111_ I $:. ,.; I .,I...i::. .. 'i• ,.: .. ._...14 r�l:'-�..: ... 27543-2601 1111 ...? 1111... t.`i.111.1I^:1::.111 1.. " , I j i< ( N F IJi A } A 1111 :::..,.. .-•1111.. FOR , I'L:.t':t•'{.t. I t.11-I::..... ?.:Y{ 1 Ivyt.}I::.y CHANGE OUT {-{..1;r I•• ..RE RESTORATION 2,.. .. 1111-, PLATO= ..:�: i 1'', PLAT tF7 NAME- �..{.{.{...`t... {".{::.,': ACRES -.. .....:.... I BLOCK= i ,•..•,._.. _.i ZONE= :. ... ;., .4..... ,_; LOT=ii ...I{i'd I'•1111 ... �...... _'. %..... .... 2111 1111 }2„1 i;t ( i ,<.�'j .,±.1111 AREA,” 1111,, .. .. ;; ...:•.:•..::•. ,-.. ..: 1111. .., < 1111 WIDTH- 11;11 t 10+111:10..0 1.. 0 . T . ;.::1•r+- ...r.:: is±;' %f:;1111 , Ict !,t_} E {-1 1111 ;'i.;; DEPTH=i t•'I 1111 '{ ka 1111 {".::'Irt 1111 0 ?..!+'- .- ;. 2 4 DWELLINGS= •i OWNER= , , , vtN , GARY f "? iC1 STREET= "1424 S .r i:.( i...I...I::.1''; RD ADDRESS= SPOKANE WA 99216 CONTACT ,..; .,. ;, 1111 T .::1: .,. ;:, 11 11., . �:±1 '71 .c,c '�: 1111 ?.:?.{{'.1•{ {ai..; t {'J�zt±I::..... .{. 1� :.; CONSTRUCTION PHONE NUMBER= .. 2711 <.,1111...-:•-1 11 1••.::<., BUILDING ' r• rs SETBACKS :< FRONT= i`,t t:, LEFT-•' i`?F'1 RIGHT=i.x 2111..�.::.. {J t'', REAP= •,I t^,. ,.: ... . ...!•�...:t,�:• { .. . x• . a;. ;.:. j.:j..j....:j.:j.:(.:t..Pr..)4)+i)Fr)t)...)4'Pr)4'R' i'i I 1 i i t) `N 1••. F'i::'F N I t )+i ij:)..t.)+i ij:*)k :}±..}:..y.:},r*')?i*•*:+i '*''Pr'Pi*'1i' )+i)+i 4+i'R"14 :. 1.1.!.)1111. }.1.1.}i ... ... ..{. ...._.... ... ± 1111. .. CONTRACTOR= ?' 1 i _•.....r,'' ;111.1 ... N S CONSTRUCTION�,:. 1 I�e )?• ( .I _.,, .. ..... 1111 ,I,., � 1111 ,.,_.. ......... .. ,. 745 111 . . I I�:I::.I::. I = I::: i i t:i{:;:C ,''< 1111.., ADDRESS= �;SPOKANE t::;NE ILI( ,"'.. 111`1.: x, �i FI ' 1111..1111 I CHANGE ;..;t::. USE NEW=1111. ADDITION= :•-11•.1••.1,1••. 1111: UNITE== :, 111.1.1..1{' . 2121::: BLDG 2-121.':'i•::.. STORIES= ...I:"I ,1111 ? OCCUP , i.... .. BLDG . _1111 Fi Di.•, W '!<. :{�) = '• O { = SPRINKLER= H ..L... 1111 :.: ,. ± 1111 {",{:'.?: PARKING= •1?•{"{t'�i{'':�1.1.{.l.:i.a t��1111 CRITICAL MAT-1111 Q ±I1•-: DESCRIPTION x : tTYPE i . FT VALUATION 1':,::.r'i2..1!.;;::.1111 1::!....:.?:: VN i '.: 00 ,00 ITEM J1S0Y . :. t : N QUANTITY F LL,... 6, " J;N { ;1111.,,•>-• :. 1 ;5 :),_:j 1111 .. . STATE SURCHARGE f 4 , 50 COUNTY SURCHARGE t 1 : : .. .... .... ........ .....a:t:.....5'.:l:l.'.:'.:'.:i.:j.:::'.. t:j.:j.:j.:,j. ;;•:j m A i:;1-. ********* **** ***:vg:•1 )1'.. )+i 9+: )?•i°:')?:'jl:'?+: ... 1•-.:. 1111,.�..;1111. ':'I .N..p:.E±:.R.3k•A:'P:•P:•P:•➢:•P.J.!,A'R :t 1+.H)l A.P. 1. J.}i R R:di 1. 1. t... 1•'t..:i 3'{1111 1`'� I :s 1111 t .± 1111 . PAYMENT , 1; : 1 ; DATE IH1.. , ?:.. - ! ' f r PAYMENT A a ( "EN . ^ iJ 0i /08/91 106 45 , 10 TOTAL ..;1111:1, -:1, :; TOTAL 1111 ..,,, .. 1 t t..tt... + 1{::.°�' :.l;Fi;F 3 t.1 I t-'}L.. t�'t-q IF:::: .., 5 . 10 PERMIT I ; 'I;_, FEE t•lMt 1'i{I i AMOUNT 1N { PA1.{3 AMOUNT .. L N2.,. BUILDING ± rI ? 45 , 10 1111... . 10 ?:. . 45, 10 45 . 10 ,00 .......:.: ....: :•,,...,.., 7;:.: 11••11,-., - :.,•-11.11-..1 PR?.??.:1::.1`>1'.•E+. ,,': : . •..{?.?Hf1' LARSON PRINTED ..I.. T,._•1'' 'B:1; JOHN 1•'t•i fN t::.!.i 1111 ± :.)?.i...t 1y '...AiC, f,-l.":f K K)::.. .. 111 1'.:':'.'':'.�'.:* '1 1 11'1* +'.:'1 11'1 YOU' 1111:g: :**:* *:****:** **** **),-:********:i. '1h::+.;+:'}k:+!;'F. !1.1±:F'P:}+. .?. .:r. R.1+.r.:•.:+. P. :?:++::??:'J+:'I+f')l•)li)+i)+i)+i ±r)+i THANK`''-7 i{ ..•..1 .. !1 ...... SPECIAL CONDITION CHECKLIST Project Address: Project# Use: Dept: Date: Condition: 'nit: Appr: (in) (out) Dept.of Bldgs. Special Insp.Final Report Hydrant( ) Lock Box Engineer's _ RID/CRP Easements • Road Plans/Improvements Bonds • Planning _ _ Bonds • • Utilities _ Double Plumbing ULID Other • • • "--*************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY****************************** Date received for C/O processing: Plans pulled for final processing: Temporary C/O issued: .Certificate of Occupancy issued: Office file review by: . Date: Filed insp finaled by:_ . Date: Ninety days after C/O issuance: Owner/contractor called regarding the return of plans: . Date: Plans returned: _. Received by: _ No response from owner/contractor-plans destroyed: _ _