1982, 06-02 Permit: 82A-4451 Fireplace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
' SPOKANE COUNTY - BUILDING CODES DEPARTMENT 8Z -- yy S
NORTH 811 JEFFERSON / SPJK.ANe,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS OG * * 2200
1. 77_('7 E (0*-1 LEGAL DESCRIPTION - SEE ATTACHED * 2 2.0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 3V- * _AIi(1,a, keit
0(. Secave 1 (4S3 1-3S2 e 4 4 5 0
owNERw S � - 3'8 13 3) 06- 02-82
3. eOg T Z vkt'n ESI- 578 -6(0 12- I _
ADDRESS (.9'1-- ZIP Actual Set Backs in F ek Lt g.
7 Z 1`) E North - »KI. East (West
CONT`RRAC�T•O/R� PHONE Size of Parcel Zone Classification
4. ADDRESS �, ZIP Typ Const. ancy Sprinklered
��//f'� \` ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation ed 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 Unf in. Basement
6.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
N ❑ ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER
WORK BLD. 0 PLMB. ❑ MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Loc ion (Area)
8. I�jv 5(Mail r % 7 FEES COLLECTED
n'k
VALUATION 50 RCE GAS ELECTRIC WATER SEWER
I' OF Ownership USE CODE
9.4iiitta UTILITIES Public 1:3 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 za —
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 APPLICATIONI J..._`-' SIGNATURE OF APPLICANT IIJ'�C. AA.AmiLermeh.
SPECIAL APPROVALS SPECIAL CONDITIONS: YY
NAME DATE ///��� LL a Plan Check
Env. Health :1147 rEte_ g&S F.A, 5 1a._..ln,.. s
V 1 ""��� """..___ SEPA i
Planning
Fire Marshall
Mobile Home
i
Co. Engineer Other(Specify)
Utilities
TOTAL $ Z-2-
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
4
PERMIT IS NONTRANSFERABLE 0'6 i 0 2 r�'&2'' 4'4 51 z
Buildi g c ian *2 2.0 0 2 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL