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1981, 08-10 Permit: M81A-7974 Mechanical FixturesLPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASNINGTON 99260 / (509) 4563676 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS t. 10914 31st LEGAL DESCRIPTION - SEE ATTACHED LO 2. BLOCK SUBDIVISION 3. OWNER John Hood PHONE 926-1715 PARCEL NUMBERS ADDRESS 10914 E. 31st Spokane, 'A ZIP Actual Set Backs in Feet North 'South (East (West 4. CONTRACTOR Valley Fireplace, Inc. ADDRESS 16610 Sorazuo P,vo. 'rad^1s, '-'A 5. DESIGNER Contractor Specialty ADDRESS ::o. r n. LL 3F 626 0'7: PHONE 922-2730 Size Of Parcel 1 Zone Classilicat ion ZIP 99037 Type Const. Occupancy Sprinklered ❑ves ❑No 0 Req•d. PHONE Valuation 1 Building Area in Sq. FI. ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO L'7 NEW 0 ALT. ❑ D N. 0 RPL. 0 MVE. 0 BLD. 0 PLMB. TECH. 0 M.H. 0 POOL Area Of Decks Finished Basement Unlln. Basement D OTHER No. Batfls No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Raq'd. Rec'O. NOt Req'o. 8. DESCRIBE WORK Install ;!Otalbostos chimney for T'rPrtil <" Stnvn Enuns. Dist. Location (Area) VALUATION 9. SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER Ownership Public 0 Private 0 VSE 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 "SESSI /o V / SIGNATURE OF APPLICANT lel/ DATE OF APPLICATION SPECIAL APPROVALS NAME DATE Env. Health anning Ire Martha,' Co. Engineer Utilities Plans Examiner SEPA Checklist Byyty�,dinq Technician SPECIAL CONDITIONS: Ready nam for inspection. PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing Mech. 41---) cz Plan Check SEPA Mobile Home Other ($pecifyl TOTAL $ t2 co PERMIT NUMBER 04* *17.00 *17.00 N *17006 A *Q00 8 797.42 08-10-81 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 08-'10781 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 797.55 *17.002e PERMIT NO. TO t AI w