1982, 02-16 Permit: 82A-1049 Insert PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT lit ` 1041
@I NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS * 2000
. 14623 Valleyway - LEGAL DESCRIPTION - SEE ATTACHED1. Er
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 200
2. * 20006
OWNER PHONE
3.
Clifford Kuhn 924-8433 A * G ( E
ADDRESS ZIP Actual Set Backs in Feet •
E. 14623 Valleyway1 0 4. 8i32
North 'South East 'West
CONTRACTOR ValleyFire lace Inc. PHONE Size of Parcel zone Classification
Fireplace, 922-2780
Ave. 02~ 16-82
4.
ADDRESS E. 16610 Sprague AZIP Type Const. Occupancy Sprinklered
Veradla?e WA 99037 Oyes ❑No ❑ Req'd. 6479
DESIGNER PHONE Valuation Building Area in Sq. Ft.
Contractor License No.
5' ADDRESS VA. LL F bZ6 OMU 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 ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. 0 PLMB. 0 MECH. El M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Install "Blaze King" Fireplace Furnace In erEtPum. Dist. ILocation (Area) ' FEES COLLECTED
8• Mode lrKFF* 02 into rz sonry fireplace err/hearth ext nsion. 1
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ElPrivate ❑
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 INSPECTIO
// Plumbing
DATE OF APPLICATION > / IGNATURE OF APPLICANT / /' Mech. ®
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
o_
Planning CJC..
Mobile Home "-'
Fire Marshall J
LL.
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
411
e di Te � -- Q'PERMIT IS NONTRANSFERABLE I—' ,;6--'8 2' 10 4,9 z * 2 0.0 0 gr-'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL