HomeMy WebLinkAbout1981, 08-10 Permit: 81A-7951 Chimney PL^ : NUM6ER APPLICATION/PERMIT PERMIT NUMBER
e/*/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT
4)iA-- rTY g1
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ( G * * O.U 0�. H. ESS vuooa�AulN LEGAL DESCRIPTION - SEE ATTACHED * i c, o
LOT BLOCK SUBDIVISION PARCEL NUMBER/S ICJ 5i..1.2- 1700 '7 9 E.v n
2. Y I beot.vw►ty —regi
OWNER PHONE 0 8_ 1 0_8 1
3. R.I.c.NARP ---1-0P 92 - i 33`'
ADDRESS ZIP Actual Set Backs in Feet 27. 6 4 7 G
i.L. "(ZC t410OPLA1014 SPokA-11/41f- 6T421G North 'South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification
sA-
4'
ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No D 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.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE
D NEW ❑ ALT. C-AD'N. D RPL. ❑ MVE.
7, OF ❑ OTHER
WORK
Er-BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) r
8. fAScNRy GIHIMh1E/ Fid wc.)ou S -oVE- Th EXIST, ISS.
VALUATION /
FEES COLLECTED
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
n OF Public 0 Private 0
u. ;$--, c,,:.•
UTILITIES
i 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 /O-'"O
Building
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 l��a,� lating co, uction or the
performance of construction.SEE REV RSE SIDE FOR REQUIRED INSPECT �I►n�j - Plumbing
0 / /ili Ap a%
DATE OF APPLICATION Mech.
SIGNATURE OF APP LICA 1J _ _ ��.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA nom-.
Planning p
C?
Fire Marshall
Mobile Home W
u..
Co. Engineer Other(Specify)
Utilities ...,LK)
TOTAL $ I
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 01 -,IZ.,e,t'el! 79'51I. 4, 1 a,0 0 2 F
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL