1980, 08-29 Permit: 80-9332 Chimney, Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
ei
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 8o'933a
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
_ r C: 4 * * 7.00
JOB ADDRESS
1. S. 1911 Vera Crest LEGAL DESCRIPTION — SEE ATTACHED * 7 0 0 N
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * O 0 y
U
2.
OWNER PHONE E * 0. 0 0
Rod Roe 922-0203
3 ADDRESS ZIP Required Set Backs in Feet 9 3 3, 1
22
S. 1911 Vera CrestNorth (South East (west
8
029-80
CONTRACTOR PHONE Size of Parcel Zone Classification
Valley Fireplace, Inc. 922-2780 6 4 7 9,
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
r+. 16610 Sprague Ave. 99037 Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS 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 a OTHER -
CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Install Metalbestos chimney And No. 105 Earth Stove 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 lo92aw regulati g construction or th -
performance of construction. .- Plumbing
7 DATE SIGNATURE �!/ ' Mech. /
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA CD
I-
.,_1
Planning —,
(3...
Mobile Home e)
Fire Marshall Z
Co. Engineer Other (Specify)
Utilities TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist t THIS BECOMES A,PERMIT.
DATE a OFFICIAL ' U j _ '- ._
/, �, : �?. (-
84/109/el7J` (› 1APPROVED FOR ISSUANCE _