HomeMy WebLinkAbout1980, 10-13 Permit 80B-1891 Chimney[PLANNUMBER
p// 31a APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
F 6,47,wi g9/
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
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LOT, BLOCK SUB`D vI ION�f
2.
TO TER
3. L f,lx r/LA,4_ 'f ,
ADDRESS y(1��- ��/
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C r TRA CTOR it
4. f-i : ,L 7
ADDRESS
DESIGNER
5. ADDRESS
PHONE
Sri -/ /)
ZIP
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South
Size of Parcel
Type Const.
Occupancy
East 'West
Zone Classification
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
❑ NEW
Iki BLD.
❑ ALT.
0 PLMB.
PHONE
ZIP
TO
O AD N.
O MECH.
0 RPL.
❑ M.H.
❑ MVE.
0 POOL
0 OTHER
Valuation
Sprinklered
❑Yes ❑No 0 Req'd.
Building Area in Sq. Ft.
Main Floor Upper Floors Garage Area Storage
Area of Decks
Finished Basement Unfin. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
DESCRIBE WORK
8. (�/fJitiC /Ii1,t ,z,a /..0-1- /31.. -4L-14'
VALUATION OURCE GAS ELECTRIC
•
OF
UTILITIES
WATER
SEWER
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private 0
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 INSPECTIONS
DATE OF APPLICATION /,9-I ^3 -EG) SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
•
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Not Req'd.
FEES COLLECTED
Single $
Building
/4
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
02* *10.00
* 1 0,00 to-
* 1 0,006
A *0,00
189.02
10-13-80
z 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
B ldin? Ternici
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0 189,1.a *10.00a� -
DATE ISSUED PERMIT NO. TOTAL