1981, 10-08 Permit: 81B-455 Fireplace InsertPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
l/ APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO `vIAKE 3 COPIES
DD
A
JOB RESS
1. B ADD East Grace LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDTVfl9ION PARCEL NUMBE-R/S
2.
ZIP
Main Floor I
Upper Floors
Garage Area
OWNER
P��E
Jack Olsen
7625
CHANGE OF USE FROM
3.
TO
Area of Decks
ADDRESS
ZIP
Actual Set Backs in Feet
6.
8003 East Grace
99206
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
No. Bath s
4. ADDRESS
ZIP
T7�7
Occupancy
Sprinklered
TYPE NEW 11 ALT.
ElAWN.ElRPL.
ElMVE.
❑Yes ❑No ❑ Req'd.
DESIGNER �� •�/'
PHONE
Valuation
Building Area in Sq. Ft.
5
ADDRESS
ZIP
Main Floor I
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Baseme
6.
No. Bath s
No.
Stories
No. Rooms
No. of Dwe
TYPE NEW 11 ALT.
ElAWN.ElRPL.
ElMVE.
7• OF
❑ OTHER
❑BLD. ❑ PLMB.
29 MECH. ❑ M.H.
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not R
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8 Lil Scot Fireplace Insert
VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public El Private ❑
9. UTILITIES
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 lumbing
DATE OF APPLICATION 10/6/81 SIGNATURE OF APPLICANT �% l�L, 4'Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
nv. Health
ning
ngineer
Utilities
Plans Examiner
SEPA Checklist '
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
04* *17.00
x 1 'j
* 1 7,00'
A *0. i0 7
45:4
10-08-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE I 1'Q' (} �Ii 8'1' 45. 5 z *1 7. a � —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL