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1981, 08-27 Permit: 81A-8642 Chimney PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY - BULLDIN43 CODES DEPARTMENT 8iIA - .a. NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS c 2 * * 1 0 0 0 1. E.. V-k-Sib �c).-0' LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. `j 1 5N©cYj►5 AOO iTt P E 6 4:1 OWNER PHONE >, 3. L.-A22-4 OR -4-krArr-C) Qomi'},- q - a-5544k'' '.65 - G / _ 1 ADDRESS ;;ZIP Actual Set Backs in Feet C- t4e,1` f cJ=I•{ "1 ©3.7 North South East (West CONTRACTOR PHONE Size of Parcel Zone Classification 4. ADDRESS ZIP T ZConst. Occupancy Sprinklered A,iNZ� — `fA,Zj Oyes ❑No 1:1 Req'd. DESIGNER PHONE luation Building Area in Sq. Ft. G Oa c-Ji 5. <ADDRESS ZIP Main Floor Upper Floors Garage Area I Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. No. Baths No. Stories No. Rooms No. of Dwellings TYPE l NEW ❑ ALT. 0 AD'N. ❑ RPL. 0 MVE. 7, OF ❑ OTHERV // WORK BLD. 0 PLMB. 0 MECH. ❑ M.H. 0 POOL CERTIFICATE Req'd. Recd. Notieq'd. of EXEMPTION DESCRIBE'I� WORK Enum.Dist. I Location (Area) FEES COLLECTED 8. Al Itit3Civ `e...4 C I IM IN-; •-1 I VALUATION SOURCE GAS ELECTRIC WATER SEWER4 "OF Ownership USE CODE P 6Q, UTILLITIES Public CI Private 0 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 4.\O.00 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.SE REVERSE SIDE FOR REQUIRED INSPECTIONS , Plumbing // DATE OF APPLICATION L SIGNATURE OF APPLICAN • _ __ - Mech. SPECIAL APPROVA SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA '_ Planning i0 Fire Marshall Mobile Home ti Co. Engineer Other (Specify) Utilities TOTAL $ tO<CGO Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Buildin Technician PERMIT IS .....r, ,..m..r0hl -i.- ; t81i 8 6 42 2 d *i0.00J - ao � 9 �e'� ;'8± �PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL