1983, 02-14 Permit: 83A-1033 Stove,Chimney(PLAN NUMBER APPLICATION /PERMIT PERMITNUMBER
�- SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY ?
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREETADDRESS PARCEL N0.
�. 13706 :�%7.5�", 28th
2. LOT BLOCK SUBDIVISION LEGAL DESC IPTION:
OWNER Davo ,Afford PHONE924-8697 PHONE
MAILING ADDRESS 37065 �aS't 28th
1
Zip ti.j 936
Actual Set Backs in Feet to:
North South East
West
CONTRACTOR
, alley Fireplace
LICIT, E61�)RES
t 1� t5 =:
PF{G ,
�N — a780
Size of Parcel
Zone Classification
Residential ❑
4.
Commercial ❑
ADDRESS 1656510 Sprague AVf .
ZIP990;37
Type Const.
Occupancy
Spr❑Norte
❑Yes ❑Req'd.
DESIGNER aradale, tiVa,
PHONE
New Const. Valuation
Remodeled Valuation Total Bldg. Floor Area
�J.
ADDRESS I on tr , ' iC 0215 e VAL' �F-a , r
zip,")9057
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
YPE ❑NEW El ALT. El AD' N. El RPL. ❑ MVE.
TOF
%
WORK El BLD. ElPLMB. ❑ MECH. ElM.H. F-1POOL❑OTHER
Certifi. of Exempt.
Required
Yes El No[]
Number
v rO � `Dt) S o
or Variance
Received
Yes No❑
DESCRIBE WORK t
g. yh,'.r>ne�.T, hearth and back tivalls.
Shorelines/Flood Hazard
Pians Required ❑
�
Yes Not Applic. ❑
Received ❑
VALUATION
I SOOURCE
GAS
ELECTRIC
PUBLIC LJSEPTIWATER
C GE ElOwnership
FEES COLLECTED
9•
UTILITIES
PRIVATE ElSEWER
LJPublic
❑Private F1
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
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 performance
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
SIGNATURE OF APPLICATION/f/
VDATE "��' e�
11:;7
OWNER OR AGENT __Mech.
-
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building %
Tech. i141
SPECIAL CONDITIONS: (SEE ,
ERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
*2000
*2000'
*0.00
0322
02-14-83
6.479.
TOTAL $ " -
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
02-1'4`83 103,32
DATE ISSUED ai PERMIT NO.
*2'0.00°[' -
TOTAL
CL
C
C
LL
LL