1982, 09-20 Permit: 82A-8389 Fireplace Insert.......... APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
L/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
E. 15816 Longfellow I LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCE NUMBER/S
OWNER PHONE
3 Gerald Lattig 922-7188
ADDRESS ZIP Actual Set Backs in Feet
Lo 15816 Longfellow 99216 North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
Valley Fire lace Inc 922-2780
4. ADDRESS ZIP Type Const. I Occupancy Sprinklered
E. 16610 Sprague Ave. 99037 ❑Yes []No ❑ Req'd.
DESIGNER Contractor Specialt #A LL FBF PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
s.
TYPE 21
No. Baths No. Stories No. Rooms No. of Dwellings
L�NEW ❑ ALT. ❑,A'D'N. ❑ RPL. ❑ MVE.
% WORK ❑ BLD. ❑ PLMB. -C_I MECH. ❑ M. H. ❑ POOL ❑ OTHER CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Install Earth Stove Fireplace Insert Enum. Dist. Location (Area) FEES COLLECTED
8.
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTI
OF
Public El Private 11
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 Building
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 INSPECTION, ,,Plumbing
yj�
DATE OF APPLICATION 9�17�82 SIGNATURE OF APPLICANT 114-0� Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $4:24
04* *2000
Y
ACD({ *2O,OOC;
* J0 0
v
8388-
09-20-'82
r 6 4 / G.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09i-.0-�g.2 838.92
DATE ISSUED PERMIT NO.
*20.00a� -
TOTAL