1981, 10-22 Permit: 81B-988 Insert PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT ' y st&
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
(1),) APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS L a * * 1 7.0 0
LEGAL DESCRIPTION — SEE ATTACHED
1. E. 19319 Sprague
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 7.O 0 Y
2.
OWNER PHONE A * 0 r' 0 C7
3 Royal Cronquist 922-3931
ADDRESS ZIP Actual Set Backs in Feet 9 b.7 c
E. 19319 Sprague Spokane, WA 99016 North 'South East 'West 1 0— c 2—8 1
CONTRACTOR 1i. PHONE Size of Parcel Zone Classification
Western Thermal Systems 483-1017 << 6.479,
4' ADDRESS L ZIP Type Const. Occupancy Sprinklered
N._ 2315 Divs ion, Spokane , WA 992D7 Oyes ❑No ❑ Req'd.
DESIGNER 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
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OFy ❑ OTHER
WORK ❑ BLD. 0 PLMB. FMECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
_ of EXEMPTION _
DESCRIBE WORK Enum.Dist. I Location (Area)
s. Install Lil Scot Fireplace Insert I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF r
9. UTILITIES Public LI Private ❑ '
Single $
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 r
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 INSPECTIONS Plumbing
DATE OF APPLICATION /c l/ SIGNATURE OF APPLICANT- =t---) - ---A-'L"` " Mech. /7
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
-:--
SEPA
SEPA
Planning ,,
- ltJ
Mobile Home -'
Fire Marshall Cr..;
Co. Engineer Other(Specify)
Utilities TOTAL $ /7
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
cuildiri-. g.. .n - PERMIT IS NONTRANSFERABLE10 -i� 2 -81 9 8.8. o p J
' 2 7, a
L` PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. 1 O ♦-.