1980, 10-20 Permit: 80B-2271 Insert PLAN NUMBER APPLICATION/PERMIT
NUMBER
Cc") SPOKANE COUNTY — BUILDING CODES DEPARTMENT '�''��NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE10 16/80
APPANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES _
JOB ADDRESS Li % / (" t`'
1. 1411 S. Wilbur LEGAL DESCRIPTION — SEE ATTACHED i. 7 �_
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * n
2.
OWNER James Rosenthal PHONE92H. 0 6480
3.
ADDRESS ZIP Required Set Backs in Feet .j 2 7. 0`"
S. 1411 Wilbur
North 'SouthEast (West r.
CONTRACTOR PHONE Size of Parcel Zone Classification I �; — o—
Valley Fireplace, Inc. 922_2780 G 6 4 7 9.
4' ADDRESS E. 16610 Sp .& ut Ave. ZIP Type Const. Occupancy Sprinklered
Veradale, WA 99037 ❑Yes ❑No 0 Req'd.
DESIGNER Contractor Specialty PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS No. VA LL '�3F 626 0 ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No.Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW 0 ALT. ❑ AD'N. ❑ RPL. 0 MVE. v
7. OF Cit CIBLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK Install Earth Stove Model 4501 Back Vent into fireplace FEES COLLECTED
8. witai p1 s±e am tAe
VALUATION I Source UCAS 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 local law regula 'ng construction or the „0/
performance of construction. 4:40), X
Plumbing
DATE SIGNATURE lier 'f7 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health Ready for inspection c-
SEPA o
Planning _ w
2
Mobile Home
Fire Marshall c.,-)
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist /Q//' Illikagir • THIS BECOMES A PERMIT.
DATE` //�V OFFIC !� u C (- Y L 1, r * J .
/ APPRO OR ISSUANCE _