1982, 11-03 Permit: 82B-0504 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.
E. 11901 Frederiok
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
3.
OWNER
Hank Nastri
PHONE
928 3093
PARCEL NUMBER'S
ADDRESS
E. 11901 Frederick
ZIP
Actual Set Backs in Feet
North (South
East
'West
4.
CONTRACTOR
Valley Fireplace Inc.
PHONE
922 2780
Size of Parcel 1 Zone Classification
ADDRESS
5.
DESIGNER
ADDRESS
E. 16610 Sprague Ave.
Veradale, WA
Contractor Linenae Nn_ Vfi TJ FP
S26 OW
ZIP
99037
Type Const.
Occupancy
Sprinklered
Dyes 0No 0 Req'd.
PHONE
Valuation (Building Area In Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfln. Basement
ICJ NEW 0 ALT. 0 AAD N. 0 RPL. 0 MVE. I
0 BLD. 0 PLMB. 2 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 Earth Stove, -Model 101 wfblack
8• into eaisti masonry chimney
VALUATION
9.
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
Enum. Dist. I Location (Area)
Ownership
Public 0 Private 0
USE CODE
I hereby certifN that I have read and examined this application and have read the "NOTICE" provisions included
on reverse sr. , 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 at•., ority 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 INSPECTION
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Planning
Utilities
Plans Examine
SEPA Checklist
"-SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
FEES COLLECTED
S. gle $
Building
Plumbing
<21 1.
Mech.
PERMIT IS NONTRANSFERABLE
•
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
-2/0
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ //2)
PERMIT NUMBER
04_
04* *2000
*20006
A *000 8
5032
11-03-82
2 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'h H;0 3' _ 812
DATE ISSUED
5Q4z *2'0002p,
PERMIT NO. TOTAL