1982, 12-27 Permit: M82B-2211 WoodstovePLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
L. 18622 Augusta
LOT I BLOCK
2.
SUBDIVISION
OWNER
Valerie Tidriek
3.
MAILING ADDRESS
456 -5521 ('.rk)
PHONE PHONE
924 7924tH e\
E. 18622 Augusta
CONTRACTOR LICENSEE PI ES
Valley Fireplace Inc. 1/1/83
4.
ADDRESS
L. 16610 S•raue Ave.
DESIGNER Veradale,
a tor icense No VA LL x:F
S 0/1:
ZIP
PHONE
922 2780
ZIP 99037
PARCEL NO.
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North South (East ( West
Size of Parcel
Zone Classification
Type Const.
Occupancy
PHONE
5.
ADDRESS
CHANGE OF USE FROM
ZIP
TO
TYPE ON4W ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK CI BLD. ❑ PLMB. p MECH. El M.H. ❑ POOL
DESCRIBE WORK Install "Blaze Princess" Stove, model PFJ
comp ete wit . efabri ated chimney.
SOURCE WATER SEWAGE
OF PUBLIC ❑ SEPTIC ❑
UTILITIES PRIVATE ❑ SEWER ❑
VALUATION
9.
GAS
ELECTRIC
New Const. Valuation
Main Floor
Residential ❑
Commercial ❑
Spr'nklered
❑Yes ❑No ❑Req'd.
Remodeled Valuation
Upper Floors
Cover Deck
No. Baths
Total Bldg. Floor Area
Garage /Storage
Uncv. Deck
No. Floors
Certifi. of Exempt.
or Variance
Fin. Basement
Greenhouse
No. Fin. Rooms
Required Yes No
Received Yes No 17
Shorelines /Flood Hazard
Yes❑ Not Applic. ❑
Ownership
Public ❑ Private ❑
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 au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SI! FOR RE • IRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
P!tELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
2'7
APPLICATION
DATE
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unf in. Basement
No. Dwellings
Number
Plans Required ❑
Received ❑
FEES COLLECTED
Building
Plumbing
— Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
n *20.00
*20.006
*0.00 8
221.02
12 -27 -82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 DATE ISSUED /
PERMITNO.l ' z
*2 O,OOar8rAL