1982, 06-14 Permit 82A-4915 ChimneyPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
8';21k --- /WI 1
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. C (
LOT LOCK SUBDIVISION
2.
OWNER
3 c4 111M
ADDRESS 1 J, • ' ' II X'
CONTRQCTpR_
:o71 '
JP O2
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S 0.-y5 0 9-07
V 6.L.4--5r4Z
Actual Set Backs in Feet
North 'South
Size of Parcel
Sii
East
(West
Zone Classification
inr�l +°1 l�
4- ADDRESS
DESIGNER
ZIP
PHONE
Type Cronst.
Valuation
Occupancy
IRA
prinklered
Des ❑No ❑ Req'd.
Building Area in Sq. Ft.
5. ADDRESS
ZIP
Main Floor Upper Floors
Garage Area
Storage
6.
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
8.
❑ 41EW
L✓1 ALT. ❑ AD'N. ❑ RPL.
BLD. ❑ PLMB. ❑ MECH. ❑ M.H.
6
SOURCE GAS LECTRIC
OF
9. UTILITIES
DESCRIBE WORK
V,ALUAYION
D0O
0 MVE.
0 POOL
WATER
❑ OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. 'Location (Area)
Ownership
Public 0 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
SIGNATURE OF APPLICANT
Req'd.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Rec'd.
No
FEES COLLECTED
Single $
Building ;2-0
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
02* *20.00
*20.00
*20,006
A *0.00 g
491,42
06-14-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0 '6 -1114 _ ) 2E
4915Z *20.00 a�
DATE ISSUED PERMIT NO. TOTAL
Spokane County
department of building & safety
JAMES L. MANSON, DIRECTOR
December 23, 1983
Branson United Steel Buildings
Post Office Box 14652
Opportunity, WA 99214
Attention Mr. Bill Francis
PERMIT NUMBER 83B - 2597
To confirm our telephone conversation today, do not proceed with construction
of the garage at East 11801 Mansfield until you have submitted a new site plan
with correct setbacks.
Sincerely
Jim !j. Haines
Senior Building Technician
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