1981, 07-20 Permit: 81A-7201 FireplacePLAT R APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
�J NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
6. Iry �� - LEGAL DESCRIPTION — SEE ATTACHED
2 L� BLOCK SUBDIVIS�v�• � PARCEL NUMBER/S
3. O W�
�
G+ i
RHONE
2,0
ADpRESS
TYPENo.
❑ NEW ❑ALT. �AD'N. ❑ RPL. ❑ MVE.
ZIP
a-
s
CONT_RQCT
I�,
PH NE
4.
❑ PLMB. ❑ MECH. ❑ M.H. El
CERTIFICATE
ADDRESS
Req'd.
Recd.
ZIP
DESIGNER
WORK �LD.
of EXEMPTION
PHONE
5.
ADDRESS
WORI<
ZIP
CHANGE OF USE FROM ITO
s.
Actual Set Backs in Feet
forth South East West
iize of Parcel Zone Classification
TyOccupancy Sprinklered
va��T
[--]yes ❑No ❑ Req'd.
/aluation 4/0
a v -d Building Area in Sq. Ft.
Main Floor I Upper Floors Garage Area Storage
Area of Decks Finished Basement Unfin. Basement
PERMIT NUMBER
iA
f�
02* *1000
* 1 a 0 0
*10008
A *000
720,0 07-20-81
;-R 6,479.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
❑ NEW ❑ALT. �AD'N. ❑ RPL. ❑ MVE.
7. OF / ❑ OTHER
❑ PLMB. ❑ MECH. ❑ M.H. El
CERTIFICATE
Req'd.
Recd.
Not R d.
WORK �LD.
of EXEMPTION
DESPIIPE
WORI<
Enum, Dist. Location (Area)
FEES COLLECTED
8
��
`ELECTRIC
VALU//T�IO:F
SOURCE
AS
WATER
SEWER
Ownership
USE CODE
9. �ll
OF
UTILITIES
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
Building 0
_
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
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
a
Planning
O
U
Mobile Home
Fire Marshall
--r
Other (Specify)
Co. Engineer
jo
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
;Q 1=' - 8+�'
72a l Z * 1 Q IL F
Bui h tc
_ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
C
DATE ISSUED
PERMIT NO. TOTAL