1983, 10-14 Permit: 83B-441 Mechanical FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
or Variance Received Yes El No❑
8 DESCRIBE WORK Shorelines/ Flood Hazard Plans Required ❑
Installation of LOPI Insert into existinr, fireiplace. Yes❑ Not Applic. ❑ Received ❑
VALUATION I SOOURCE GAS ELECTRIC PUBLIC O SEPTIC O Ownership FEES COLLECTED
9• UTILITIES PRIVATE ❑ SEWER ❑ 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 beIcomplied with whether specified herein or not. The granting of a permit does not presume to give au -
Building
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 Plumbing
SIGNATURE OF i—� --' , i , APPLICATION
OWNER OR AGENT I ti'. u:. i v . f'/ 1c= DATE .,j Mach. c/O -
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL GATE
Plan Check
Env. Health
SEPA
Planning
Modular)
Fire MFG. Home
Prevent.
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
PERMIT NUMBE ii
1
- +
Other (Specify)
TOTAL $ �O
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
014-'41z *20,00°
DATE ISSUED PERMIT NO. TOTAL
a
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G.D1
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APPLICANT: COMPLETE NUMBERED SPACES —
PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
PARCEL NO.
N. 217 Fox
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
2.
I
I
OWNER
PHONE
PHONE
3.
Helen Russell
924-6117
MAILING ADDRESS
ZIP
Actualt s in Feet to:
N. 217 Fox Spokane, WA
99206
North South East West
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential
4.
Valley Fireplace
1/1/84
922-2780
1 1
Commercial ❑
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E. 16610 Sprague Ave. Veradale WA
9903
❑Yes ❑No
❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
Cont _
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
s.
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
TYPE ❑NEW El ALT. El AD' N.
C1 RPL. El MVE.
7
OF
El OTHER
WORK El BLD. ElPLMB. ❑ MECH.
ElM.H. ❑ POOL
Certifi. of Exempt.
Required Yes❑ No❑
Number
or Variance Received Yes El No❑
8 DESCRIBE WORK Shorelines/ Flood Hazard Plans Required ❑
Installation of LOPI Insert into existinr, fireiplace. Yes❑ Not Applic. ❑ Received ❑
VALUATION I SOOURCE GAS ELECTRIC PUBLIC O SEPTIC O Ownership FEES COLLECTED
9• UTILITIES PRIVATE ❑ SEWER ❑ 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 beIcomplied with whether specified herein or not. The granting of a permit does not presume to give au -
Building
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 Plumbing
SIGNATURE OF i—� --' , i , APPLICATION
OWNER OR AGENT I ti'. u:. i v . f'/ 1c= DATE .,j Mach. c/O -
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL GATE
Plan Check
Env. Health
SEPA
Planning
Modular)
Fire MFG. Home
Prevent.
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
PERMIT NUMBE ii
1
- +
Other (Specify)
TOTAL $ �O
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
014-'41z *20,00°
DATE ISSUED PERMIT NO. TOTAL
a
C
G.D1
W
J_
U_