1982, 10-29 Permit: 82B-0365 Insert PLAN NUMBER APPLICATION/PERMITPERMIT--� — l f.2,7(:-.-6
_
NUMBER
ZT:t3
SPOKANE COUNTY — BUILDING CODES DEPARTMENT ` a
v
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
A APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
E. 15210 - 14th LEGAL DESCRIPTION — SEE ATTACHED
1. 04 * * 20, 00
LOT BLOCK SUBDIVISION PARCEE,..IVUMwER/S * 2 0 0 0
2.
OWNER PHONE A * 0, 0 0 S
a Patricia Postom 926-0073
ADDRESS ZIP Actual Set Backs in Feet 3 6 4
E. 15210 - 14th Ave. North 'SouthEast (West 1 C— 2 9—8 2
CONTRACTOR PHONE Size of Parcel Zone Classification
Valley Fireplace, Inc. 922 2780 -2 6 4 7 9,
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
i+• 16610 Sprague Ave. 99037 Elves ❑No 0 Req'd.
DESIGNER V eradale, WA PHONE Valuation Building Area in Sq. Ft.
Contractor License No. VA LL EF5' ADDRESS 326 Oti1N 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. 0 AD'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER
WORK ElBLD. 0 PLMB. 0 MECH. 0 M.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Install Earth Stove Model 1005 w/black Enum.Dist. I Location (Area) FEES COLLECTED
8. Pipe into existing chimney and firewalls
VALUATION SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES Public ❑Private El 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 INSPECTION Plumbing
DATE OF APPLICATION / J SIGNATURE OF APPLICANT .1' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA r>-
l_
Planning 'U
Fire Marshall Mobile Home J
Co. Engineer Other (Specify) Y
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
,diiir,12,Techn, PERMIT IS NONTRANSFERABLE ];;�O Y f 9 -8 2 3 6.5 z *2 �' ° _
' � t PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL