1982, 12-27 Permit: 82B-2209 Fireplace InsertPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY ��-t2✓
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREErADDRESS PARCEL NO.
1. h;. 13905 Mallon
LOT BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
2.
OWNER LeRoy Franklin
PION %23-1385
PHONE
3.
MAILING ADDRESS 3. 13905 T "al 1
ZIP
Actual Set Backs in Feet to:
on
North South East West
CONTRACTORnt LICENSE XP ES
Valley Fireplace
PHONE
Size of Parcel
Zone Classif ication
Residential ❑
1/1/83
4.
922 2790
�
Commercial ❑
-
ADDRESS L. 16610 Sprague kva.
ZIP
Type Const. Occupancy
Sprinklered
99037
1
❑Yes ❑No ❑Req'd.
DESIGNER Contractor License No. VA LL LF
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
�J.
ADDRESS '"
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Corer Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths No. Floors
No. Fin. Rooms No. Dwellings
TOF YPE El NEW El ALT. El AD'N. 11 RPL. 11 MVE.
7 ❑OTHER
WORK El BLD. ElPLMB. ElMECH. El M. ElPOOL
Certifi.ofExempt. Required
Yes❑ No❑ Number
or variance Received
Yes❑ No❑
Plans Required
DESCRIBEWORK Install tt$laza King" Fireplace Insert
Shorelines/ Flood Hazard
8.
:iodel KFF402 into Magsonry r• '
Yes❑ Not Applic.❑
Received ❑
FEES COLLECTED
VALUATION I
SOOURCE
GAS ELECTRIC PUBLIC O
SEWAGE
1
Ownership
9•
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private ❑
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 au-
Building
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERU Sia FOR R IR SPECTIONS
Plumbing
SIGNATURE OF APPLICATION !,L
'(
OWNER OR AGENT '�'�'` DATE �/ `
Mach.
SPECIAL APPROVALS
SPE CONDITIONS: (§,Et REVERSE SIDE FOR NOTICE)
PRELIM.
FINAL DATE
Plan Check
Env. Health
SEPA
Planning
Modular/
MFG. Home
>
Fire
C
Prevent.
C
Engineer
Other (Specify)
C
LI
Utilities
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans
PERMIT IS NONTRANSFERABLE
THIS BECOMES A PERMIT.
Exam.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building
Tech.
f�
IN 180 DAYS
11 � — R 2 2 O z * 2 O 0 0
%
DAT E7SSUE� PERMIT NO. TOTAL