1982, 10-07 Permit: 82A-9236 Chimney PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT C"� '
ca
D
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. , fIfI 3-31 F2 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOC SUBDIVISION PARCEL NUMBER/S �
a * * 2 O.U v
2. - ,C3+2 * C U Q OOWN R PHO 2s. �-IS 1 Fo 1 ? r * I_
t�ADDRESS Actual Set Backs in Feet
_ _ , Z--- W[ North 'South East (West V C 3 E.
CONTR CT 'PHONE Size of Parcel Zone Classification
4. CT
> 1 (: - 07-82
ADDRESS ZIP Type Const. Occupancy Sprinklered - 6.L 7 .
❑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.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW 0 ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF 0 OTHER
WORK ❑ BLD. ❑ PLMB. 0 MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req' .
of EXEMPTION
DESCRIBE WORK Enum.Dist. ILocation (Area)
8. fir' ur
1Ndkj —i FEES COLLECTED ,
VA U TION SOURCE GAS ELECTRIC WATER SEWER
�t- LI Ownership SSE CODE
9. "//7"'"� UTILITIES Public ❑Private
;�J'/ 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 — C7
type of work will be complied with whether specified herein or not. The granting of a permit does not presume r
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.nSEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION G�GQ 7� / � SIGNATURE OF APPLICANT 7.4.;v4-N,c �� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: ` ---
NAME
NAME DATE Plan Check
Env. Health
SEPA ›-
2
Planning CD
U
-
Fire Marshall Mobile Home w
J
LL.
Co. Engineer Other (Specify)
Utilities 0
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
• ing T- ni•': PERMIT IS NONTRANSFERABLE 1,0 -0 7 _8 2 9 2 3 6 2 *2 a lam-,
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL