1982, 10-14 Permit App: 82A-9537 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
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDI IS ON PARCEL NUMBER/S
2. (41 1 1C Jt� c�':�z �
OWNER PHONE
�c r Mery - �
Z4'-tZ`� z7 -Z i �4►
3.
ADDRESS
ZIP
Actual Set Backs in Feet
f✓ . F*bkzG> -�-C,;I
n
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
Yy
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I
Dyes ❑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.
I
Baths
No. Stories
No. Rooms
No. of Dwelling
TYPENo.
EW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
], OF❑OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK LLLVVVjjj BLD. 11PLMB. [V'/ MECH. ElM.H. ❑POOL
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
8
FEES COLLECTED
VALUATION
SOURCE
GAS ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
I UTILOITIES
Public Private C]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 �C�
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 Od /Y. /f y L SIGNATURF OF APPLICANT VF.�(/ J/hl'�
Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
n PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $,-a0-C70
PERMIT NUMBER
04* *20.00
*20.00
A *0.00 m
953670-
10-14-82
53610-14-82
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10-14'-82 953.75
DATE ISSUED PERMIT NO.
*20.0'0°
TOTAL