1982, 02-16 Permit: 82A-1006 ChimneyPLANIVUMBER
APPLICATION/PERMIT
SPOKANE COUNTY --rSUI DING 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
2 < BLOT K ,BDI%IIS(QN I ��� PARCEL NUMBER/S; y ^ enz
h F.
v
<544 5-r'
C,c`-jA f\
CHANGE OF USE FROM TO
s.
PHONE.
ZIP
TONE
2 -
P
P �d �
AONE
ZIP
Actual Set Backs in Feet Vr 1"
OWNER.
W, k,
L
East West
•
Zone Classification -
ADD F3�SS
TyV C nst.
CON<AM
I
^
4.
✓aluation
Building Area in Sq. Ft.
ADDS€SS
I Upper Floors
Garage Area
Storage
Area of Decks
DESIGNER
Unfin. Basement
5.
ADDRESS
h F.
v
<544 5-r'
C,c`-jA f\
CHANGE OF USE FROM TO
s.
PHONE.
ZIP
TONE
2 -
P
P �d �
AONE
ZIP
Actual Set Backs in Feet Vr 1"
forth South
East West
iize of Parcel
Zone Classification -
TyV C nst.
ccupancy
Sprinklered
3
I ❑Yes ❑No ❑ Req'd.
✓aluation
Building Area in Sq. Ft.
Main Floor
I Upper Floors
Garage Area
Storage
Area of Decks
Finished Basement
Unfin. Basement
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ALT. AD'N. ❑ RPL. ❑ MVE.
7, OF❑ OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El CERTIFICATE Req'd. I Recd. Not eq'd.
A of EXEMPTION
DESC I E WOR Enum. Dist. Location (Area)
8 • I �' FEES COLLECTED
VALU TION SOURCE GAS ELECTRIC WATER SEWER Ownership Inh
9. .3ri OF Public El Private 4 UTILITIES
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances gover
type of work will be complied with whether specified herein or not. The granting of a permit does notBuilding
to give authority to violate or cancel the provisions of any other state or local law regulating constructiperformance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION � C� SIGNATURE OF APPLICAN Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: j
NAME DATE J Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
>�7 �Tecciari PERMIT IS NONTRANSFERABLE
-- - — PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $ -�7— C -D
PERMITUMBER
8� ' 10L
lQ
02* *20.00
*20.00
*2000
A *0.00
100.5
02-16-82
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
042;'a 6`-8'2' 10 a6 z
DATE ISSUED PERMIT NO.
*2'0,0020 -
TOTAL