1982, 09-14 Permit: 82A-8196 ChimneyPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
LOT I B
2.
O ER
3.�
AD / ESS/
4 -
4.
DESIGNER
5. ADDRESS
T`Sqt3DIyI5IUN I PARCEL NUMBER/S
1.94AI4
CHANGE OF USE FROM TO
6.
PHONE
ZI //�G✓ /
Actual Set Backs in Feet
North South East West
PHONE
Size of Parcel
Zone Classification
ZIP
Type Const.1
Occupancy
Sprinklered
Oyes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
Area of Decks
Finished Basement
Unfin. Basement
TYPENo. Baths No. Stories No. Rooms Nq. of Dwellings
EW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8. �C iZ C NI��' FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑ Private ❑
9. UTILITIES
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 d -
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 la regulating construction or th
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTI N Plumbing
1UDATE OF APPLICATION — SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Fire Marshall - - Mobile Home
Co. Engineer Other (Specify)
Utilities
Plans Examiner
SEPA Checklist
uilding Technician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL $Z&'d).,
PERMIT NUMBER
✓A 1
02* *2000
81 9,52
09-13-82
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
T9 -T3-82 819.60
DATE ISSUED PERMIT NO.
*20.00D-�J- -
TOTAL