1979, 11-14 Permit: 79-7781 Wood Stove a s
PLAN NUMBER APPLICATION/PERMIT M P RMITlg _N_U B R
is t .
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 11/7/79
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
04 * *7.00
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
1. 10511 E. 16th Spokane, WA * 7,0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
*7.
7 O O U
2.
OWNER PHONE B * 0.0 0 CDCD
3. Duane Storms 924-4301 0
ADDRESS ZIP Required Set Backs in Feet 7 7 8 0 R
10511 E. 16th Spokane, W,4 North 'South East (West 11 .- 14-79
CONTRACTOR PHONE Size of Parcel Zone Classification
Valley Fireplace, Inc. 922-2780 2 6.4 7 9.
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 16610 Sprague Ave. ❑Yes ❑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 ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF it=1 OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH: CIM.H. ❑ POOLWOOd Stove CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. Install prefabricated chimney for wood stove. 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 c w regulat�% tion or the
performan e.of construction. C tubing
DATE f — 77
SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
✓X
SEPA o
i—
Planning _ w
2
Mobile Home Cr)
Fire Marshall
Co. Engineer Other (Specify)
Utilities t
TOTAL $ 1
Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATE OFFICIAL
APPROVED FOR ISSUANCE _