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1979, 11-05 Permit: 79-7267 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 4 COPIES JOB ADDRESS 1. N. 1112 Progress Rd. Veradale, WA. LEGAL DESCRIPTION — SEE ATTACHED 2. 3 LOT BLOCK SUBDIVISION OWNER Robert K. Edens PHONE 928-9165 PARCEL NUMBER/S ADDRESS N. 1112 Progress Rd. ZI P Required Set Backs in Feet North (South East (West 4. 5. CONTRACTOR Valley Fireplace, Inc. PHONE 922-2780 Size of Parcel Zone Classification ADDRESS DESIGNER ADDRESS E. 16610 Sprague Ave. Veradale ZIP 99037 Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. PHONE Valuation Building Area in Sq. Ft. ZIP DWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Split Entry Split Level Rancher ❑ NEW ❑ BLD. ❑ ALT. ❑ PLMB. ❑ AD'N. ❑ MECH: ❑ RPL. ❑ M.H. ❑ MVE. CI POOL OTHER Fireplace No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. Install VALUATION 9. "Earth Stove" Source of Utilities with insulated chimney GAS ELECTRIC as per Et at WATER SEWER 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 jocall liw regulatinco.. uction or the performance of construction. DATE /'-- 7ff SIGNATURE DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE OFFICIA FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ / /v1 PERMIT NUMBER 7r— 7,. , 7 DATE 11/1/79 04* *7,00 *7,00 *700(5 E *000 72662 11-05-79 2 6479, APPPfVFf1 Ff1R ISSIIAN(:F WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 11-05'-79 7267, ,*7,00°H