1980, 10-03 Permit: 80B-1422 Fireplace3.
4.
a
APPLICATION/PERMIT FITIRPTNUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON/ SPOKANE, WASHINGTON 99360 / (509) 456-3695
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JO9 AODRESs
,P 111 n „ 1A LEGAL DESCRIPTION —SEE ATTACHED
FROM
ZIP
❑Ves ❑No ❑Re0'd.
No. Baths No. Stories NO.
TYPE LI New ❑ ALT. ❑ AWN. 1-1RFL. El VE.
]_ OF ❑OTHER 1 WORK BLD. 1-1 FILMS. p( MECH. E]M.H. ❑POOL CERTIFICATE
of EXEMPTION Reo'
PTIOTIO
N
FEES COLLECTED
vni�n' v SOURCE 9 GAS ELECTRIC WATER SEWER OwnersM1lp USE COOS
OF
9. �_ UTILITIES Pu611c OPrIW to ❑
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
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
�J a
/ /
GATE OF APPLICATION /O'3—dD SIGNATURE OF APPLICANT '/�'�"
Meph.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Ix
Plan Check
Env. Healtn
-
SEPA
Plannl ng
Mobile Home
Other (Spedfy)
Fere Marsnae
co_ En9mae�
UtuulP:�
IOTA L
r:
PERMIT IS NONTRANSFERABLE 1 b I10 �) np;0 1
1 o
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT N6 �' C * /• IUV 0
PERMIT IS NONTRANSFERABLE 1 b I10 �) np;0 1
1 o
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT N6 �' C * /• IUV 0