1982, 10-04 Permit: 82A-9022 Insert PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILQING CODES DEPARTMENT vL C r
V NORTH 811 JEFFERSON / SPOKA1 ,W NSHINGTON 99260 / (509)456-3675
J APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. L. 14105 15th LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3 Steven Sussek 922 0268
ADDRESS ZIP Actual Set Backs in Feet
L. 14105 15th 99037 North 'South East 'West 0 4 * * 2 0 0 0
CONTRACTOR PHONE Size of Parcel Zone Classification * 2 0,G O U
4 Valley Fireplace Inc 922-2780
ADDRESS ZIP Type Const. Occupancy Sprinklered A * 0 0 0 S
L. 16610 Sprague Ave. Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. 9 0 2 1 R
Contractor Specialty No. 1 .r_ c i _ P
5. ADDRESS VA LL LF S26 01ffl ZIP Main Floor Upper Floors Garage Area Storage _ )
6479,
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF _M' ❑ OTHER Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. 0 PLMB. L MECH. 0 M.H. El POOL CERTIFICATE
fit of EXEMPTION
DESCRIBE WORK Install "ii'arth Stove" Fireplace Ins er' Enum. Dist. ILocation (Area) FEES COLLECTED
8. No. C-201 into masonry fireplace. l
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION ,� lumbing
/ . . / _ t.--''"DATE OF APPLICATION SIGNATURE OF APPLICANT . ,> Mech. --
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning O
_ v
Fire Marshall Mobile Home w
J
Li
Co. Engineer Other (Specify)
Utilities TOTAL $ "-
Plans
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
��Bu 9 T n ian PERMIT IS NONTRANSFERABLE l0 0 41 '89 2,2 z *2 0. 0 O_d -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 2 PERMIT NO. TOTAL