1982, 09-27 Permit: 82A-8719 Insert PLAN NUMBER APPLICATI .,i /PERMITPERMIT NUMBER f
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
��f �� --,
r NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
y APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
13316 E. 15th Ave. LEGAL DESCRIPTION — SEE ATTACHED
1.
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. .
OWNER PHONE 0 (J * * 2 O. O O
Clem Christman 926-1066
3 ADDRESS ZIP Actual Set Backs in Feet * 2 0.0 0 6
E. 13316 15th Ave. North 'SouthEast IWest A * 0, G 0
CONTRACTOR PHONE Size of Parcel Zone Classification
Valley Fireplace Ino. 8 7 1.8
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 16610 Sprague Ave. 99037 Oyes ❑No 0 Req'd. 0 9-2 7-8 2
DESIGNERCor_tractor Specialty No. PHONE Valuation Building Area in Sq. Ft. 6 .7 9.
5. VA LL EF S26 MST 922-2780 G
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 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF / ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. 0 PLMB. ,E MECH. 0 M.H. 0 POOL
of EXEMPTION
DESCRIBE WORK Install Blaze Princess stove, model r Enum.Dist. I Location (Area) ' .•
FEES COLLECTED
8. PrJ20 with Insulated rhimney, fireproof all & he*th. I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑Private ❑
9. UTILITIESfi 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 umbing
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: 6
NAME DATE Plan Check
Env. Health
SEPA nom.
M
Planning _ ri
Mobile Home 1
Fire Marshall `s
Co. Engineer Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Btr+ in era
PERMIT IS NONTRANSFERABLE0.9 2,'7_ =8.2' 8 7 L 9 z *.2 ad -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL