1985, 12-26 Permit: 00009270 Wood 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.
2.
LOT
a
3.
1 BLOCK
I3CDS {woI
SUBDIVISION
vaJDGvFiz_ SU130IuI4(otJ
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
PkVit) c V. K6'uvteZ
4441301 I
PARCEL NUMBER/S
0'3 3 7 0 i ..
ADDRl55sraC 6.
Actual Set Backs in Feet
North 'South East 'West'
4.
5.
CONTRACTOR
-v (eAkt44N"1
ADDRESS
pt tit T
DESIGNER
P ONE
Size of Parcel 1 Zone Classification
PHONE
Type Const.
Occupancy
Sprinklered
Oyes ONo O Req'd.
Valuation (Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE 0 NEW 0 ALT. 0 AD N. O RPL.
7. OF
WORK 0 BLD. 0 PLMB. CMECH. 0 M.H.
O MVE.
O POOL
0 OTHER
NO. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Reed.
Not Req'd.
DESCRIBE WORK —
8. ! PrkW Srib V CU
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC 1 WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
I hereby certify that 1 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 INSPE
DATE OF APPLICATION II"-7..(7—SC SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
Env. Health
anning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Budding Technician
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
ATech.
Plan Check
SEPA
Mobile Home'
Other (Specify)
TOTAL $
PERMIT NUMBER
9210
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
›-
0-
0 0_0
Ca
- J
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
13505ESE HEROY AV
<ELLMER, DAVID V
ACEs:
13505 E HEROY AV
,..: ET:
SPOKANE WA ' 99216
ro KHAT/CHIMNEY SWIFT
i0E'FAHAT/CHIMNEY SWIFT
17145 E 10TH AV
z
SPOKANE ET WA 99202
LICENSE.:
309-535-8748 TOPHACS186MG
AR<N,ENSINEEE:
ADDRESS:
EL<:
035413709
CENSUS TE.
NE ECTDN:
0D254400
l T 4 e K
D003C 001
FINAL
032544
ZONES.
ZONE
000
-
000
-3
000
000
004
400D STOVE
USE DF PERM,.:
13:505ESE: HEROY AV
0010202
12/31/85
00009270
MECHANICAL. $20.00
PAID BY
$20.00
CG
COG T APP
PLANS ESA
DATE
MECHANICAL PERMIT
MECHANICAL TOTAL FEE $20.00
APPL.; Dry 0 Range 0 Gas Log 0 Gas W/H 0 Solid Fuel. 01 Fee 10,00
FUEL SOURCE: Electric N Gas N Oil N Coal. N Wood Y Solar N
DISTRIBUTION: Forced Air N Radiant Y Heat Pump N
Processing Fee 10.00
12-3'1 X85
72695 *20,09.6
OFFICE COPY