1982, 11-03 Permit: 82B-0506 Fireplace InsertPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
S. 2825 Best
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
3.
OWNER
ADDRESS
Jim Lindblad
S. 2825 Beat
PHONE
928 1493
ZIP
Actual Set Backs in Feet
North 'South East 'West
CONTRACTOR
4' ADDRESS
Valley Fireplace Inc.
PHONE
922 2780
Size of Parcel 1 Zone Classification
DESIGNER
5. ADDRESS
E. 16610 Sprague Ave.
Veradale, RA 99067
Contractor License No. VA LL EF
S26 OMN
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑Na ❑ Req'd.
PHONE
Valuation 'Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
]t OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
E NEW 0 ALT. 0 AAD'N. ❑ RPL. 0 MVE.
❑ BLD. 0 PLMB. MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
Install "Lopi" Large Extended (LX)
Fire {place Insert into masonry fireplace.
VALUATION SOURCE
OF
9. UTILITIES
GAS
ELECTRIC
WATER
Enum. Dist.
Location (Area)
SEWER
Ownership
Public ❑Private ❑
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 INSPECTIOIy1S
DATE OF APPLICATION
)//--
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
SPECIAL APPROVALS
NAME DATE
Env, Health
Planning
Fire Marshall
Co. Engineer
!Jti!It ies
Plans Examiner
SEPA Checklist
PERMIT IS NONTRANSFERABLE
1
FEES COLLECTED
Single $
Building
Plumbing
Mech. �-�
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
0-2-h-o5o(
04* *20.00
*20.006
A *000
5058
11-03-82
E 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11-03-8'2 50.65
*20.00a�
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL