1982, 02-18 Permit: 82A-1095 Insert PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT , 1°'
C. NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
��/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 13305 E. 16th LEGAL DESCRIPTION — SEE ATTACHED C 4 * * 2 0. 0 0
LOT BLOCK SUBDIVISION * 2 C. 0 0 m
PARCEL NUMBER/S
2. * 20,006
OWNER
3. Sidney Unger P 926-8078 A * 0 0 0
ADDRESS ZIP Actual Set Backs in Feet
13305 E. 16thNorth (south East (west 1 0 9. 4
CONTRACTOR PHONE Size of Parcel Zone Classification 0 2 1 8-8 2
Valley Fireplace, Inc. 922-2780
4' ADDRESS ZIP Type Const. Occupancy Sprinklered 7. 6.4 7 9,
E. 16610 Sprague Ave. 99037 Oyes ❑No IIIReq'd.
Voradalo, }�p
DESIGNER
q PHONE Valuation Building Area in Sq. Ft.
5 Contractor License No.
ADDRESS VA LL EF 626 01'/111 ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7. OF El OTHER
WORK IIIBLD. ElPLMB. CIMECH. IIIM.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Install "Blaze Kling" Fireplace Furnace Enum.Dist. I Location (Area) FEES COLLECTED
8. Insert ift Mas onry fireplace. I
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
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 P bing
DATE OF APPLICATION .... S" IGNATURE OF APPLICANT 4 "qe-1' -/P-7-717,12Mech. ��
SPECIAL APPROVALS SPECIAL CONDITIONS: f
NAME DATE / Plan Check
Env. Health .
SEPA na
Planning O
U
Fire Marshall Mobile Home J
is
Co. Engineer Other(Specify)
Utilities 2—�-1
TOTAL $ V
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ch ' Ian _ PERMIT IS NONTRANSFERABLE 0'CJ"; �e B,Zi 109,5 Z *2 a �Ia' _
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL