1980, 07-16 Permit App: 80-7187 Chimney, Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
LOT
2.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
/8 Al, CQ,c3,,V
BLOCK SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OWNER
3 147/40p# W. CRESS
4.
ADDRESS
PHONE
44 ti. COde,�,v
CONTRACTOR
c5gai/I-
ADDRESS
S4rile
DESIGNER
5.
ADDRESS
6.
ZIP
C/90/6
PHONE
iess3 -Qsyro
Actual Set Backs in Feet
North (South
Size of Parcel
ast 'West
Zone Classification
ZIP
Type Const.
Occupancy
PHONE
Valuation
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
CHANGE OF USE FROM
ZIP
Main Floor Upper Floors
Garage Area
Storage
T
Area of Decks
Finished Basement
Unfin. Basemen
TYPE
7. OF
WORK
8.
9.
Pr NEW ❑ ALT. E AD N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
DESCRIBE WORK
VALUATION
2
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
C//01,erc t(/
SOURCE
OF
UTILITIES
GAS
dUp
ELECTRIC
V
MA)
WATER
c2 V
SEWER
Enum, Dist. I Location (Area)
Ownership d
Public ❑ Private Ll
USE 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 INSPE
DATE OF APPLICATION /7/7f rn SIGNATURE OF APPLICANT
SPECIAL APPRO LS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
C/I/f1/uc'/ 7Z & Qd luS%icCr ,o / c
k/rrN 1 /y1Aga.vity /,a S 77A, it OF Art rt/c:/r
Rec'd. (Not Req'd.
FEES COLLECTED
Single $
Building IP -Too
Plumbing
ech.
Plan Check
SEPA
Mobile Home
Other (Specify)
St.-vvo.srvos.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL. $ (•d*)
PERMIT NUMBER
807/87
04* *7.00
*7.00 N
7186
07-16-80
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07'1,16-8'0 718,72 *7,00°F -
DATE ISSUED PERMIT NO. TOTAL
FILE COPY