1982, 06-14 Permit: 82A-4920 Insert PLAN NUMBER n PERMIT NUMBER
APPLICATION/PERMIT
COUNTY — BUILDING CODES DEPARTMENT ?v
V NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 04 * * 2000
1. 2604 So. Timberlane LEGA. DESCRIPTION — SEE ATTACHED * 2 0.0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2 A * 0.00
OWNER PHONE 49 1.9 2
3. Dean Ray 928-0390 8
ADDRESS ZIP Actual Set Backs in Feet 0 6
1 4- 2
2604 So. Timberlene 99037 North 'SouthEast (West
CONTRACTOR PHONE Size of Parcel Zone Classification 4 7 9.
Valley Fireplace Inc 922-2780
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 16610 Sprague Ave. 99037 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5.
Contractor License No. VA LL EF
ADDRESS 6L6 013I 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. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF 0 OTHER -
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Install Blaze Princess FireplaceEnum. Dist. Location (Area)
8. 'n masonry f irepl ce. I
Insera I FEES COLLECTED
VALUATION�SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF ❑Private El9. UTILITIES Public
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 local law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONSPlumbing
DATE OF APPLICATION /�— .� �' w ��
SIGNATURE OF APPLICANT '7'��"'� Mech. 7
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA r
0
Planning OU
Mobile Home W
Fire Marshall --
LL
Co. Engineer Other (Specify)
Utilities TOTAL $ 6)
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui Tec ' an r PERMIT IS NONTRANSFERABLE 0'16 -11 4'y�`2 4 9 2.0 z *2 0.0 0 a'�' -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL 1