1983, 07-27 Permit: 83A-7007 Fireplace InsertPLAN 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
1.
STREET ADDRESS
N. 1307 Bannon
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
OWNER
3 Cory Wells
MAILING ADDRESS
N. 1307 Bannon
PHONE
924 -3861
PHONE
LEGAL DESCRIPTION:
Spokane, WA
ZIP
99214
Actual Set Backs in Feet to:
North 'South
[East
West
CONTRACTOR
4 Valley Fireplace, Inc.
ADDRESS
E. 16610 Sprague Ave.
DESIGNER
Veradale, WA
5.
LICENSE EXPIRES
1/1/84
PHONE
922 -2780
Size of Parcel
Zone Classification
Residential ❑
Commercial ❑
ZIP
99037
Type Const.
Occupancy
Sprinklered
EYes ❑No EReq'd.
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage /Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE /NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB.er MECH. ❑ M.H. ❑ POOL
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required
Received
Yes❑ No
Yes ❑ No❑
Number
8. DESCRIBE WORK Installed CC -700 Country Comfort
VALUATION
9.
SOURCE
UTILITIES
GAS ELECTRIC
Shorelines /Flood Hazard
Yes❑ NotApplic. ❑
Plans Required ❑
Received
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC ❑
SEWER ❑
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 SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PR. LIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
-o.
TOTAL $ e
PERMIT UMBER
- 7007
04* *2000
*20.006
A *000
700,62
07 -27 -83
$ 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0727 -8`3 700,72
DATE ISSUED PERMIT NO.
*20.00°1-
TOTAL