1982, 11-30 Permit: 82B-1467 Fireplace FurnacePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY— BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANEcpASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3.
JOB ADDRESS
E. 16126 Heroy
• LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER
ADDRESS
Stanley Bippes
E. 16126 Heroy
928 E 7742
ZIP
Actual Set Backs In Feet
North 'South [East 'West
CONTRACTOR
Valley Fireplace Inc.
PHONE
922 2780
Size of Parcel 1 Zone Classification
ADDRESS
E. 16610 Sprague Ave.
ZIP
99037
Type Const.
Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER Veradale., WA
Contractor License No. VA LL EF
S26 OM •
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PHONE
Valuation I Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors I Garage Area
Storage
TO
Area of Decks
Finished Basement
Unf in. Basement
..al EW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. , 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 "Blaze King" Fireplace Furnace
8. Insert' into masonry fireplace with fireproof heart]
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
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 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 re.ulat construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
•Planning
Fire Marshall
Co. Engineer
•
Utilities
Plans Examiner
SEPA Checklist
uTURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plutnbing
Mech. 2 -0 -
Plan Check
SEPA
Mobile Home '
Other (Specify)
TOTAL $ ZC7.
PERMIT NUMBER
04* *2Q00
*2Q008
A *QOQ m
14662
.1130-82 -
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t 1 '
`, �H 81,2'
DATE ISSUED
•
PERM'
tI od. ' -
*20.Oda