1980, 10-07 Permit: 80B-1544 Insert PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT gC-5Q IS 4041/
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 106180
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
04 * *7.00
JOB ADDRESS
E. 13615 - 3rd Ave. LEGAL DESCRIPTION — SEE ATTACHED
1. * 7 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S O 0
cf
2.
OWNER =1987 A * 0,0 (1 S
3.
Glen Morgan
ADDRESS _ ZIP Required Set Backs in Feet 1 5 4,3
O.
1:.. 13615 - 3rd Ave.
North 'SouthEast west 1 0- 0 7-8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
Valley Fireplace, Inc. 922-2780 6 4 7 9:
4. ADDRESS E• 16610 Sprague Ave. ZIP Type Const. Occupancy Sprinklered
Veradale, WA 99037 Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
Contractor Specialty
5' ADDRESS No. VA LL EF 626 0iZIP 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 ❑tN:sEW ❑ ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7, OF ® OTHER
WORK 0 BLD. 0 PLMB. CIMECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Install ttivialmtt Royal Carousel Free Standing fireplace with FEES COLLECTED
8. chimney and fire roof w>a11 k ()firth._
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 loc law regulat g co ruction or the
performanc of con truction. ,if Plumbing
�, '� � Of 7 '
DATE 1 SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health cc
SEPA o
Planning r_.)— ,V
0
Mobile Home
Fire Marshall z
Co. Engineer Other (Specify) yyyyyy
Utilities r
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist _
THIS BECOMES A PERMIT. o ='
DATE OFFICIAL '- `.I4i- I ' U
APPROVED FOR ISSUANCE -