1981, 11-17 Permit M81B-1896 Wood Stove, ChimneyIPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
E. 10522 Ferret Drive
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
3.
OWNER
Robert H. Crick
PHONE
928-5106
PARCEL NUMBER/S
ADDRESS
E. 10522 Ferrett Dr. Spokane, WA
CONTRACTOR
4 Valley Fireplace Inc.
' ADDRESS
E. 16610 Sprague Ave.
Veradale, WA
ZIP
99206
PHONE
922-2780
ZIP
99037
Actual Set Backs in Feet
North !South
Size of Parcel
Type Const.
Occupancy
East
West
Zone Classification
DESIGNER Contractor Specialty
ADDRESS No. VA LL EF 626 00
PHONE
ZIP
Valuation
Main Floor
Upper Floors
Sprinklered
❑Yes ENo ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basemen
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
9.
DESCRIBE WORK Install Blaze Princess Stove complete
with ewall nd Metalbestas chimney.
VALUATION SOURCE GAS ELECTRIC WATER
OF
UTILITIES
SEWER
Enum, Dist, I Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
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 authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOfi REQUIRED INSPECTIO
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
NATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. /
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL
$ /7
PERMIT NUMBER
F -
04* * 1 7.00
* 17.00 t
* 17.006
A *0,00
189,52
1 '1 -1 7-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
(117T;1.81 189,'65 *17.00aJ —
DATE ISSUED 'PERMIT NO. TOTAL
(
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