1979, 11-14 Permit: 79-7785 Wood Stove PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
M SPOKANE COUNTY - BUILDING CODES DEPARTMENT �� --1.qc
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE November 12, 1979
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 4 * * 7.0 0
JOB ADDRESS
1. E. 13217 - 8th LGALQESCRIPTION — SEE ATTACHED * 7.0 0 N
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 7.0 0 v
2. p
OWNER PHONE B * O 0 0 O
3. Peter Clark 926-4906 7 7 a 4 g
ADDRESS ZIP Required Set Backs in Feet
E. 13217 - 8th Spokane, WA _ 99216 North 'SouthEast (west 1 1 — 1 4—7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
Valley Fireplace, Inc. 922-2780 g 6 4 7 9.
4' •
ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 16610 Sprague Ave., Veradale, WA 99037 Eves ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
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 El ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF MOTHER -
WORK ❑ BLD. CIPLMB. ElMECH: CIM.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8• Installation of Earth Stove, Insulated Chimney and fireproof back wall FEES COLLECTED
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 c.. truction or th
perform n of construction. �., / Plumbing
DATE �, SIGNATURE %�z Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
rY
SEPA o
Planning (..)
vl
d
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities ,__-
TOTAL $ 19.
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE, 0
SEPA Checklist THIS BECOMES A PERMIT. ; C * 0 r, F:
DATE OFFICIAL
APPROVED FOR ISSUANCE _