1982, 11-03 Permit 82B-0508 StovePLAN 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
1.
N. 4305 Best
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
David Newton
PHONE
928 8540
PARCEL NUMBER/S
ADDRESS
N. 4305 Best Rd.
ZIP
Actual Set Backs in Feet
North (South
East
'West
CONTRACTOR
4' ADDRESS
E. 16610 Sprague Ave.
DESIGNER Veradale, WA
5. Contractor License No. VA LL Ef
S26 CNN
Valley Fireplace Inc.
PHONE
922 2780
Size of Parcel
Zone Classification
ADDRESS
ZIP 99037
Type Const.
•Occupancy
Sprinklered
Dyes DNo 0 Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO -
Area of Decks
Finished Basement
Unfln. Basement
TYPE
7. OF
WORK
ONEW 0 ALT.
0 BLD. D PLMB.
,YDAD N. 0 RPL. D MVE.
L� MECH. ❑ M.H. 0 POOL
DESCRIBEWORK
Install "Earth Stove" Model 101
8. pipe nto ex sting mas nr chimney.
VALUATION SOURCE GAS' - ELECTRIC" WATER
9. Y2 �OF
UTILLITIES
D OTHER
w/blaok
No. Baths
No, Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
Enum. Dist`
Location (Area)
SEWER
Ownership
Public ❑ Private 0
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 INSPECTIONS
DATE OF APPLICATION v �— SIGNATURE OF APPLICANT,
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT 1S NONTRANSFERABLE •
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. Z-cD
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ .2-6'
PERMIT NUMBER
bz-g - 0 00
04* *20.00
*20006
A *000
50.72
'11-03-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 i ii I. )i 1' • .
1}fL ,0,3 -;8;2. 5 0, 8 2 * 210 0 0
•
DATE ISSUED PERMIT NO. TOTAL