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1981, 03-11 Permit: 81A-2294 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER� � SPOKANE COUNTY - BUILDING CODES DEPARTMENT } NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 0 * * 1 7.0 0 Job ADDRESS LEGAL DESCRIPTION — SEE ATTACHED 1. I. 15803 - 11th * 1 i. 0 0 N LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. `� * 17.00) OWNER PHONE P; * 0:Ci George Hauserman 924-6209 3. ADDRESS ZIP Actual Set Backs in Feet 2 2 9.3=c 15803 - 11th North 'South East IWest 0 4 1 1 -8 1 CONTRACTOR PHONE Size of Parcel Zone Classification Valley Fireplace, Inc. 922-2780 U 9 4' ADDRESS ZIP Type Const. I Occupancy Sprinklered L. 16610 Sprague Ave.- 99037 ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. Veradale, WA — 5' ADDRESS Contractor Specialty ZIP Main Floor Upper Floors Garage Area Storage No. VA T,T, .r 1' F26 OlViN 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. 0 AD'N. 0 RPL. 0 MVE. - 7, OFPi OTHER CERTIFICATE Req'd. Recd. Not Req'd. WORK ❑ BLD. 0 PLMB. El MECH. 0 M.H. ❑ POOL of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) ' FEES COLLECTED 8 Install "Blaze King" wood stove and ttref'�bricai d r hirnna�. USE CODE VALUATION SOl7RCE I GAS ELECT IC WATER SEWER Ownership OF 9. UTILITIES Public 0 Private 0 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 g performance of construction.SE//E REVERSE SIDE FOR REQUIRED INSPECTIONSe DATE OF APPLICATION /` /( SIGNATURE OF APPLICANT/ 746" i8 /PIumbin Mech. / 7 SPECIAL APPROVALS PECIAL CONDITIONS: Plan Check NAME DATE Env. Health ready for inspection. SEPA n C_...) Planning - u Mobile Home J_ . Fire Marshall Other(Specify) Co.Engineer Utilities TOTAL $ /7' Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. SEPA Checklist r •PERMIT IS NONTRANSFERABLE 0 51.—li���'°,$ 1.' 2 2 9.4 z *1 7.0 0 a F - Buildin echr ni i n iPERMIT NO. TOTAL wDATE ISSUED"'� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE