1983, 12-19 Permit: 83B-2646 Insert PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY e313- 2446,
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES— PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. 14206 E. 22nd ,.
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER PHONE PHONE
3.
Dave Christanson 922-3618
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
14206 E. 22nd Spokane WA 99216 North !South East I west
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential❑ V J
Valley Fireplace 1/1/84 922-2780 Commercial❑
4. ADDRESS ZIP Type Const. Occupancy Sprinklered * )
E. 16610 Sprague Ave. Veradale, WA 99037 DYes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area R
5 Contr. License TALT,�F-177CG
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
— J
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf In.Basement 7
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TOFPE /NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.7. 0 OTHER
WORK
0 BLD. 0 PLMBMECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes No❑ Number
or Variance Received Yes❑ No
DESCRIBE WORK C�i w 5//I Shorelines/Flood Hazard Plans Required❑
8lnstallation of LOPI Insert (SX) into masonry ireplace Yes❑ Not Applic.❑ Received ❑
VALUATION SODURCE GAS ELECTRIC PUBLIC WATER EWA 0 Ownership FEES COLLECTED
9• UTILITIES PRIVATE 0 SEWER❑ Public 0 Private 0
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 type of
Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the perf?rmance
of construction.SEE REVERSE E FOR REOUIR INSPECTIONS Plumbing
71 SIGNATURE OF i APPLICATION yy ! �
OWNER OR AGENT \- Cl...CCC' 'Aug f( ' --. QGGr DATE �� I J 2 Mech. Gt/
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning
Modular/
Fire MFG.Home y
Prevent.
d
Engineer Other(Specify) v
W
—1
Utilities ?` P/ W
TOTAL $
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building / IN 180 DAYS , '� v 1 n .... :! - o
Tech. 6 * U r. O
Z DATE4S�SUEI� PERMII�NiJf u; ' , - TOTAL