1982, 11-12 Permit: 82B-864 Chimney PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 'z-6 - 14-
^ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
I/va // APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. . 10717 zl LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S ,r? 2y 7 �
2.
71-2, - z-
2. , L,2 * * '20x. 00
OWRUR i3. PCPHONE �, ,0 0
ADD}�ESS ZIP Actual Set Backs in Feet ! ! I/Iril� (7,
/ 7 ..�,vim/� YYYY ��"� * ,,
6 ` I O ( I -7 1 — 2.0 t ' North 'South East 'West `4
CONTRAI.�C'�('1T}�ORR/ /PHONE Size of Parcel Zone Classification
4' ADDRESS ZIP Type Co st. Occupancy Sprinklered 1 1 - 1 2- 2
� ••••••?:, ❑Yes DNo ❑ Req'd. 6 4 7 Q,
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.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW 0 ALT. ❑ AD'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER
WORK ..,12.--BLD. ❑ PLMB. 1:1 MECH. 0 M.H. El POOL CERTIFICATE Req'd. Recd. Not q'd.
of EXEMPTION _
8
DESCRIBE WORK Enum. Dist. Location (Area)
H//�� X. �,.�, 11 6 FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership , //USE CODE
9. C/ UTI OF
LLITI ES Public 0 Private L� 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 '7--0'
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 /' /. SIGNATURE OF APPLICAN ...-- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n
Planning fD
J
Fire Marshall Mobile Home
J..
Co. Engineer Other (Specify)
Utilities 7_, C? e
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
• Tec n ciar PERMIT IS NONTRANSFERABLE 1 r1 12 . 8 2 8 6.4 z2 8. a i —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL