1982, 10-18 Permit M82A-9700 InsertPLAN 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
1.
LOT
2.
BLOCK
E. 14913 Broadway
SUBDIVISION
3.
OWNER
David E. Latimer
PHONE
928-1181
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
ADDRESS
CONTRACTOR
4' ADDRESS
5.
E. 14913 Broadway
Valley Fireplace, Inc.
ZIP
PHONE
922-2780
Actual Set Backs In Feet
North (South
Size of Parcel
East
'West
Zone Classification
DESIGNER
ADDRESS
E. 16610 Sprague Ave.
veradalo, WA
Contractor License No. VA LL EF
S26 0MN
ZIP
99037
PHONE
ZIP
Type Const.
Valuation
Main Floor
Occupancy
Upper Floors
Sprinklered
❑Yes ❑No 0 Req'd.
Building Area in Sq. Ft.
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
�l NEW
❑ BLD.
❑ ALT. ❑ AD N. ❑ RPL. ❑ MVE.
❑ PLMB. 'C1 MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK Install "Blaze Princess" Fireplace Furna
8, Insort into masonry re lace v/hoarth e- tension.
VALUATION SOURCE ELECTRIC WATER SEWER
OF
9. UTILITIES
GAS
0D Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
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 constrt;ctioryoi the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION,S`)
•
DATE OF APPLICATION
SPECIAL APPROVAL
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
20 .
TOTAL $ 2-0
PERMIT NUMBER
. 7'7OC9
04* *20.00.
* 20.006
A *000
969.92
10-18-82
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ing Techn'
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
11O . ,E18'
DATE ISSUED
I
970,O5 *2.0,OO2P1
PERMIT NO. TOTAL