1982, 11-15 Permit: 82B-0980 Insert PLAN NUMBER APPLICATION/PERMIT ,yy� PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT T )��
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
1. E. 1.3205 — 8th Ave.
LOT BLOCK SUBDIVISION PARCEL NU4;''9ER/S ,* k r, J V
2. * 21.;,0 0
OWNER PHONE
3. Mr.. Vervair 928-8629 A * 0 E,
ADDRESS ZIP Actual Set Backs in Feet
. 13205 — 3th Ave. Spokane, ifA 99216 North 'SouthEast 'West 9 7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
Valley Fireplace. Inc. 922-2780 1 1 — 1 5-82
4. ADDRESS ZIP Type Const. Occupancy Sprinklered15. 4
16610 Sprague Ave. Veradale, '( 99037 Dyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5 Contractor License No. VA LL 15F S26 MN
ADDRESS 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 0 NEW 0 ALT. ❑ AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. ❑ PLMB. 0 MECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Install Blaze Baby stove, BTJ-502, Enum. Dist. ILocation (Area) ' FEES COLLECTED
$ nosnnlPt with hearth and chimney. '
VALUATION SOURCE GAS ELECTR C WATER SEWER Ownership USE CODE
OF Public ❑Private 0
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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS P mbing
7
DATE OF APPLICATION J r I SIGNATURE OF APPLICANT "7.11 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA r-,-
Planning —
Mobile Home
�J
Fire Marshall
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist
Bu ding�e hniciag 2
6-7" PERMIT IS NONTRANSFERABLE 11:�1 5 —s 2 9 8,0
z *2 0'0 D a F _
+4
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL