1981, 11-18 Permit: 81B-1952 ChimneyPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
'f[ LEiiAL DESCRIPTION —SEE ATTACHED
LOT I BLOCK ISUBPIVISION PARCEL NUMBER/S-
2
UMBER%—r,,4+
j y Q 4/
OWNER
3. O
ADDRESS
-511
CON
4
ZIP Actual Set Backs in Feet
2- North South
PHONE Size of Parcel
ADDRESS
ZIP
Type Qonst.
Occupancy
Sprinklered
U
�
❑Yes -]No ❑ Req'd.
DESIGNER
PHONE
Valuation/ _�����
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
Baths
No.
Stories
No. Rooms
No. of Dwellings
TYPENo.
❑ NEW (±ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
BLD. ElPLMB. ❑ MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
WORK
of EXEMPTION
I
jNo;,R94'cl.
DESC IEWO
K 1 i
-
Enum. Dist. Location (Area)
FEES COLLECTEDN
$
VALUATION
SOURCE
GA
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9. 1UTILITIOFES1
I
Public ❑ Private
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
.� fl
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
MATE r1F APPI ICATI(1N / /.(> 1� %� ///F/ / SI(;NATI IRF r1F APPI I('ANV-; d,.'121' ),2C`y (�L-11-// /r/
Mech.
SPECIAL APPROVALS
NAME DATE
iv.,Health
! &f k" I�)
inning
re Marshall
). Engineer
:ilities
ans Examiner
ec
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
PERMIT NUMBER
—I
-* *20.00
00
1 c; 5.1
1 1 -18-81
6479.
Mobile Home
Other (Specify)
TOTAL $ '�y
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
�+1: L . 8 8'1 19 5.'2 Z
DATE ISSUED PERMIT NO.
2 0. 0 010L �
TOTAL