1981, 01-23 Permit App 81A-0798 Chimney, WoodstoveFLAN NUMBER
'GA's
APPLICATION/PERMIT
PERMIT NUMBER
Ownership
Public ❑Private
�2
M 971k 070
SPOKANE
COUNTY — BUILDING CODES DEPARTMENT
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
I �'
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1509) 456-3675
02* * 1 000
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
Pr�VM5<
LEGAL DESCRIPTION -SEE ATTACHED
17-5v7
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS//J
Plumbing
* 1 0.00
*10006
A *000
n
LO K
2. 3
I � � � j
�i �"flM
�. -b�jPHONE
I�
PARCEL NUMBER/S ! 31 1 J
OWN R
2
3.
NAME DATE
Plan Check
79.6
ADDIESS �� �{'jCti
Actual Set Backs in Feetf2
SEPA
Planning
North South East West
01-23-81
CONTR T
PHONE
Size fParcel Zn Classif icalo^n.I
4'
Mobile Home
r
SIG �1+� "
G479,
i
ADDRESS
Other(Specify)
ZIP
TN
Const.
Occupancy
Spr nklered
� I
❑Yes ONO ❑ Req'd.
04* * 1 7.0 0
* 1 7.00
o�1
DESIGNER
PHONE
Valuation I
Building Area in Sq. Ft.
*17.00L,
_
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storagex
A *(100
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
79.7
61-23-81
TYPEEW El ALT. AD -N. El RPL. ❑ MVE.
%, OF—/
No. Baths
No. Stories
No. Rooms
No. of Dwellings
BLD.
1:1PLMB. Ilj ElM.H.
❑OTHER
1:1
CERTIFICATE
Raq'tl.
Recd.
Not Rep'tl.
WORK
MECH.
POOL
of EXEMPTION
i/
5j.7 9.
DESME
K
I
I
Enum. Dist.
Location (Area) FEES COLLECTED8.
SOURCE
9. aO UTI LLITIES
'GA's
ELECTRIC WATER
SEWER
Ownership
Public ❑Private
USE CODE
Single $
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
I �'
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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//J
Plumbing
_ '�' 3 — $ I lb
DATE OF APPLICATION SIGNATURE OF APPLICANT ^' w
Mech.�_
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
i
Fire Marshall
Mobile Home
r
i
Co. Engineer
Other(Specify)
nn PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
BY 7982
DATE ISSUED PERMIT NO.
*2Z00(OL �j
TOTAL