1981, 11-19 Permit: 81B-2003 Fireplace, Chimney (PLAN NUMBER APPLICATION/PERMIT PERMIT U BER
2,003
I SPOKANE COUNTY - BUILDING CODES DEPARTMENT
' NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
e)
� APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS J I U 0
1. E i 1 SS i2 -7J kv� LEGAL DESCRIPTION - SEE ATTACHED • 1,
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
* 1700
2.
OWNER PHONE 0, * C 0 0 _
3. C-rgic-r./- Sm ITN 149-6-2__C...5-*/
ADDRESS ZIP Actual Set Backs in Feet G 0 0.
E.. 1131 S' iZ Tit AVa- /92.0.6 North 1South East (West 1 i " I
CONTRACTOR PHONE Size of Parcel Zone Classification
4. 6, 479.
ADDRESS ZIP Type Const. Occupancy Sprinklered
❑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. 4.
TYPE �•y���. AAS
No.Baths No. Stories No. Rooms No. of Dwellings
l3'NEW 0 ALT. LTAD'N. 0 RPL. 0 MVE.
7, OF ��.� 0 OTHER
WORK "`7D. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. Jy
of EXEMPTION
T
DESCRIBE WORK Enum.Dist. I Location (Area) FEES COLLECTED
8. FI,P1.Ac.E—_ 441Vt c 141 M N -Th Ex'IS--rhij( /31t 1L-13/s (t. I
,VIALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9.0/000 UTILOITIES Public 0 Private 0 Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included r2Q _
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 1'l X?
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 INSPECTIONSPlumbing
DATE OF APPLICATION Ii /I SIGNATURE OF APPLICANT A� ' / / `-.. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
o_
Planning OU
Mobile Home Li/
Fire Marshall
Co. Engineer Other (Specify)
Utilities t 0_7 04
TOTAL $ ' ` 4('
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ilding a hnician PERMIT IS NONTRANSFERABLE .(. . J
1'1 �19'-6�l' 200.� z d *17, OOoal- -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL