1982, 11-03 Permit: 82B-0502 Insert PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 7/4/
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
e... APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS1. 1418 S. Wilbur Rd. LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 0 (.(. * * 2 0 0 0
2. * 2000
OWNER PHONE
J. C. Boyer 926 3748 * Q 0 0
3.
ADDRESS ZIP Actual Set Backs in Feet
1418 S• Wilbur Rd. North (south East (west 5 0. 1
CONTRACTOR PHONE Size of Parcel Zone Classification
Valley Fireplace Inc. 922 2780 1 °1 —0 3—8 2
4. ADDRESS ZIP Type Const. Occupancy Sprinklered 6 4 7 9:
E. 10610 Sprague Ave. 99037 Oyes ❑No 0 Req'd.
DESIGNER VOT'0.d0.10, WAPHONE Valuation Building Area in Sq. Ft.
5 Contractor License No. VA LL EF
ADDRESS S26 0141 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 KNEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER -
CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. ErMECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Stall "Blaze Princess" PFF 402 Fireplace Enum.Dist. I Location (Area)
InFEES COLLECTED
8. Insert into masonry fireplace with hearth extension. 1
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private D 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 INSPECT( S Plumbing
DATE OF APPLICATION /, ''2- - /2—SIGNATURE OF APPLICAN / Mech. 'Z,0
SPECIAL APPROVALS SPECIAL CONDITIONS: / Plan Check
NAME DATE
Env. Health
SEPA r
(--
Planning _
U
Mobile Home j
—
Fire Marshall
Co. Engineer Other (Specify)
Utilities '1�0
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
yTec. ., e-� PERMIT IS NONTRANSFERABLE 1'1 —'0 3 —8 2 5 0.2 z *2 0. 0 0 a2. F.
—
���� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL