1981, 11-02 Permit: 81B-1360 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 MAKE3 COPIES
JOB ADDRESS
4620 N. Evergreen Rd. ,LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
OWNER PHONE
3 John Vermillion 928-8862
ADDRESS 4620 N. Evergreen Rd, ZIP Actual Set Backs in Feet
North South East
0. Back Walls and Metalbestos chimnev.
VALUATION1 SOURCE GAS ELECTRIC I WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public ❑ Private ❑ Single $
1 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 Building
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 Numbing
-7 DATE OF APPLICATION 0� SIGNATURE OF APPLICANT z Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
iv. "eai
anning
re Mars
Co. Engineer
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
eA IPERMIT NUMBER
al3—
G4* *17.00
*17.00
* 1 7,006
A *0,00 00
135,9
1,1 -02-81
z-9 6.479,
SEPA
C
C
Mobile Home
U
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
y
13602 *]7,00 �
DATE ISSUED PERMIT NO. - TOTAL
CONTRACTOR
Valley Fireplace, Ino.
PHONE
922-2780
Size of Parcel
Zone Classification
4.
ADDRESS
. Sprague ve.
ZIP
Type Const.
Occupancy
Sprinklered
Veradale WA
99037
❑Yes ❑No ❑ Req'd.
DESIGNER
Contractor Specialty
PHONE
Valuation
Building Area in Sq. Ft.
5.
,
R 626
ADDRESS
ZIP1hearth,
Main Floor Upper Floors
Garage Area Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
TYPE El NEW
El ALT. ❑ AWN. ❑ RPL.
❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellin
7.
OF
Req'd.
Recd.
Not Req'
El BLD. ❑ PLMB. ❑ MECH. ❑ M. H. 11 POOLCERTIFICATE
WORK
of EXEMPTION
DESCRIBE WORK
stall Blaze King stove with
Enum. Dist.
Location (Area)
FEES COLLECTED
0. Back Walls and Metalbestos chimnev.
VALUATION1 SOURCE GAS ELECTRIC I WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public ❑ Private ❑ Single $
1 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 Building
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 Numbing
-7 DATE OF APPLICATION 0� SIGNATURE OF APPLICANT z Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
iv. "eai
anning
re Mars
Co. Engineer
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
eA IPERMIT NUMBER
al3—
G4* *17.00
*17.00
* 1 7,006
A *0,00 00
135,9
1,1 -02-81
z-9 6.479,
SEPA
C
C
Mobile Home
U
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
y
13602 *]7,00 �
DATE ISSUED PERMIT NO. - TOTAL