1982, 10-27 Permit: 82B-262 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
3.
JOB ADDRESS
-
LOT BLOCK SUBDIVISI N
OWNS(r(r�'!y}!�p. {� I ��j
ADD) SSil _ ����1 L5� C'VIJ
CONT RA,�TQRR
4- ADDRESS
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
,..„1,2Z -3
..„1f es
PHONE
Actual Set Backs in Feet'f)
North 'South < East '] West
Size of Parcel
DESIGNER
5.
ADDRESS
6.
ZIP
9 ,( , o
Type\lVV,Co11st.
III
ccupancy
? n
Zone CI ssification
<7'Ii ?SilLit
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation _600
Building Area in Sq. Ft.
CHANGE OF USE FROM
TYPE
7, OF
WORK
DESC^ �I
IV
❑ NEW
BLD.
E WO
VALUATION
9.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
TO
O<LT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
Area of Decks
Finished Basement
Unf in. Basement
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not tet.
tOURCE GAS
OF
UTILITIES
cri
ELECTRIC
WATER 1 SEWER
Enum. Dist. Location (Area)
Ownership
Public ❑ Private
SE CODE
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
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
DATE OF APPLICATION 1G ' ")-7 - ? -
FEES COLLECTED
Single $
Building
Plumbing
SIGNATURE OF APPLICANT \4Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ��
PERMIT NUMBER
02* *20,00
*20.006
A *0.00 8
26.1-2
10-27-82
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10-27-8.2 26.2
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
*2 0.0 0