1979, 11-21 Permit: 79-8248 Wood Stove •
LAN NUMBER APPLICATION/PERMITPERMIT NUMBER
r SPOKANE COUNTY — BUILDING CODES DEPARTMENT M ?q – Fz318/
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE 11/19/79
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 04 * * 7.0 0
JOB ADDRESS
1. 12021 E. 6th Ave. LEGAL DESCRIPTION — SEE ATTACHED * 7, 0 0 n
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 7. 0 0 v
2 OWNER PHONE E * 0 0 0 S
3. T. Thomas 924 3736 8 2 4 7 2
ADDRESS ZIP Required Set Backs in Feet
E. 12021 - 6th Ave. 99206 North 'SouthEast (west 1 1 -2 1 -7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
Valley Fireplace, Inc. 922-2780 2 6 4 7 9. ��
4' ADDRESS L. 16610 Sprague Ave. ZIP Type Const. Occupancy Sprinklered '
erAd•�1�, fA-g 99037 ❑Yes ❑No D Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. .e
5. ADDRESS 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 ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF EXOTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ Fireplace
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
8. Install Earth Stove with prefabricated chimney, fireproof t all s &. heArt'h
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 local law regulating construction or the
performance of construction. Plumbing
d"()
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA O
(--
Planning — LU
0.-
Mobile
Mobile Home v)
Fire Marshall Z
Co. Engineer Other(Specify)-
Utilities .04
" TOTAL $ 7
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist `/—.2./— 7 9 THIS BECOMES
A PERMIT.
DATE OFF ICIAL,X/2,L / �Ci I 12 It7 L t L * 7. U J
2. i-
APPROVED FOR ISSUANCE -