1981, 04-23 Permit: 81A-3831 FireplaceNUMBER �a3/�, APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563575
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
e DDREss
LEGAL DESCRIPTION —SEE ATTACHED
BLOCK PARCEL NUMBER/S
PHD1E-rr 1n Zo544-Osq�j-
3.
Of Parcel
DESIGNER
5.
❑Yee ❑Na ❑ Req'd.
PERMIT N VyMBER
SlH Jg31
02* 12000
12'00 m
20000
A 1P0C
383.0E
04-23-81
R 6479.
TYPE 11 NEW ❑ALT. ❑ AD -N. El Sol. ❑ MVE.
7, OF El OTHER
CERTIFICATE Rep'0.
ReC'C.
NOL Reged.
1:1 ED. ❑ PLMB. 11MECH. ElM.H. ❑POOL
WORK
of EXEMPTION
DES RISE WORK
Enum. DI0151,L000lon
(Arad)
8.
FEES COLLECTED
AMJ�'r VALUATION 50 CE GAS ELECTRIC WATER SEWER OwnenMO USE CODE
❑Prlvale
zoo UTILITIES Public ❑
Single $
1 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
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 '/'.2a-ZI SIGNATURE OF APPLICANT
Mesh.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. HealtM1
SEPA
Pla nnln9
Mobile Home
Omer lSookif,)
NL
J'Od
Fue MarSM1dll
c.,_ En9lnee.
w uoe.
TOTAL $
Plans Fxaml,
WHEN MACHINE VALIDATED
THIS BECOMES A PERMIT.
0'121-`81
IN THIS SPACE,
3'9 � 1'd f.2 40.G 0 F
PERMIT IS NONTRANSFERABLE
sEPA 111 1 1
�y1�)a�ne r/a�M1n
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. 10rAL