1984, 01-17 Permit: 84A-473 ChimneyPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREETADDRESS PARCEL NO.
S. 1321 Limerick
LOT I BLOCK I SUBDIV
2.
OWNER
3 Dan Greany
MAILING ADDRESS
S. 1321 Limerick
CONTRACTOR
4 Valley Fireplace
ADDRESS
E, 16610 Sprague
Ave
PHONE PHONE
928-1670
ZIP
Veradale, TTA 99037
LICE S EXPIRES PHONE
1 1 85 922-2780
ZIP
Veradale, WA 99037
DESIGNER PHONE
5 Contr. License +TALL&-177CG
ADDRESS ZIP
CHANGE OF USE FROM
6.
TO
In
North South
Size of Parcel
Type Const. Occupancy
New Const. Valuation R
Main Floor I Upper Floo
No. Baths
East I West
Zone Classification Residential ❑
Commercial ❑
Sprinklered
❑Yes ❑No ❑Req'd.
ed Valuation Total Bldg. Floor Area
Garage/Storage Greenhouse
Fin. Basement Unf in. Basement
No. Fin. Rooms No. Dwellings
TYPE ❑ NEW
❑ ALT. ❑ AD' N.
❑ RPL.
❑ MVE.
7 OF
❑ OTHER
WORK ❑ BLD.
❑ PLMB. ❑ MECH.
❑ M.H.
❑ POOL
Certifi.ofExempt.
Required
Yes El No❑
Number
or Variance
Received
Yes❑ No❑
8 DESCRIBE WORK
Installation Of
LOPI,
Model No. 440
Shorelines/Flood Hazard
Plans Required ❑
usin Securl.t
chimneyPiRe.
Yes❑ Not Applic. ❑
Received ❑
VALUATION
SOURCE
OF
GAS
ELECTRIC
WATER
PUBLIC ❑
SEWAGE
SEPTIC ❑
Ownership
FEES COLLECTED
9 UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private ❑
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 to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the erformance
of construction. SEE REVERSE SIDE FOREOUIRE INSPECTIONS
SIGNATURE OF ' „ APPLICATION`
OWNER OR AGENT �e�,.r����� DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
tngineer
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam.IL PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Buildingi / IN 180 DAYS
Tech.7.
Building
Plumbing
Mach. ✓
,
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
P MfTNUMBER
A - -If 12
TOTAL $ -� d� I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED _ PERMIT No., n z o l ri n !1 T®TAL
r
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