1980, 07-10 Permit: 80-6922 Chimney, Fireplace PLAN NUMBER APPLICATION/PERMIT PERMIT e19NUMBER
01 SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 7/8/80
APPLICANT: COMPLETE NUMBERED SPACES — PRE S F�IARD TO MAKE 4 COPIES 0 4 * * 7. 0 0
JOB ADDRESS - *.7 () r, rn
1. N. 1403 Sunderland Rd. LEGAL DESCRIPTION — SEE ATTACHED * 7.0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. E * 000 52
OWNER PHONE
3 John Julian 928-4328 6 9 2 1 ?7— 1 0—8 0
Required Set Backs in Feet
ADDRESS ZIP 0
N. 1403 Sunderland Rd. North (South East west
CONTRACTOR PHONE Size of Parcel Zone Classification 6 4 7 9,
Valley Fireplace, Inc. 922-2780
4' ADDRESS ZIP Type Const. Occupancy Sprin(klered
E. 16610 Sprague Ave. 99037 ❑Yes ❑No 0 Req'd.
DESIGNER YerQdale, WA PHONE Valuation Building Area in Sq. Ft.
Cont»aactor Specialty
5' ADDRESS No. VA LL EF S26 MN zip DWL Area Basement Area Garage Area Storage —"
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPE No. Baths No. Floors No. Rooms Rec. Room
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ® OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. ❑ MECH: 0 M.H. CI POOL
of EXEMPTION
DESCRIBE WORK Install prefabricated chimney and firepprroOf walls & hearth FEES COLLECTED
8.
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
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 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 I al law re• latin' onstructioor the
performance of construe. Plumbing
7-- SP DATE SIGNATOR / , Mech.
o
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health cc
SEPA o U
Planning — w
4
Mobile Home cr.)
Fire Marshall z
Co. Engineer Other (Specify)
Utilities 11-7. --
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. 11'Z (� 0
DATE? `G7 OFF A`��
... THIS
0 g.,—;1'0 — 0 0 6 9 '). L Z' 0 IL i
A ROVE, IR ISSUANCE _
(_ _