1979, 11-14 Permit: 79-7783 Earth Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT M --N-1 19 3
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. E. 10120 - 20th Ave. Spokane, WA * 7.0 0 N
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 7.0 0 U
2. ... n
OWNER PHONE B * 0,0 0 cJ
3. Steve Nelson 928-3242 a
ADDRESS ZIP Required Set Backs in Feet 7 7 2 i
E. 10120 - 20th Ave. Spokane, WL 99206 North 'SouthEast 'west 1 1 — 1 4—7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
Valley Fireplace, Inc. 922-2780 g 6.4 7 9,
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 16610 Spree Ave. Veradale 99037 Dyes ❑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 a OTHER
WORK ElBLD. ❑ PLMB. ElMECH: ElM.H. ❑ POOL Wood Stove CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. Install Earth Stove, prefab icated d fir pr ile y, FEES COLLECTED
VALUATION urce I GAS h� 'ELECTRIC �i C WATER 1 hSEW FY
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 loc law regulatin• cons uction or the
performan e .f construction. lambing
r .rte �j �a-r�E�
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health oc
SEPA o
Planning — w
3-
Mobile Home Cr)
Fire Marshall z
Co. Engineer Other (Specify)
Utilities TOTAL $_�_
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. .. -, ri
1 1 d. -i u, 3i, u
DATE OFFICIAL
APPROVED FOR ISSUANCE _