1982, 10-22 Permit M82A-9963 WoodstovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
PERMIT NUMBER
IA--f- 1963
1.
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
503 So. University
LOT
2.
BLOCK
SUBDIVISION
OWNER
H. J. Hooker
PHONE
924 3944
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
ADDRESS
CONTRACTOR
4. ADDRESS
503 So. University
Valley Fireplace Inc
ZIP
PHONE
922 2780
Actual Set Backs in Feet
North JSouth East 'West
Size of Parcel
Zone Classification
DESIGNER
5' ADDRESS
6.
E. 16610 Sprague Ave.
VtJrudalu, VJA
ZIP
99037
Type Const.
Occupancy Sprinklered
Oyes ❑No 0 Req'd.
Specialty License No. VA LL EF
CHANGE OF USE FROM
TYPE
7. OF
WORK
S26 OMN
PHONE
ZIP
TO
❑ NEW D ALT. ❑ AD N. ❑ RPL. ❑ MVE.
0 BLD. 0 PLMB. 0 MECH. ❑ M.H. ❑ POOL
❑ OTHER
Valuation Building Area In Sq. Ft.
Main Floor Upper Floors Garage Area Storage
Area of Decks
Finished Basement
Unfln. Basement
No. Baths
No. Stories No. Rooms No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
DESCRIBE WORK Install "Blaze Princess" stove w/insu1at3dEnum. Dist.
8 c imney, {l fireproof }Malls Ana hf�nrth_
VALUATION SOURCE I GAS I, AnaELECTRIC WATER SEWER
OF
9. UTILITIES
Location (Area)
Ownership
Public 0 Private 0
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 FOR REQUIRED INSPECTIONS
DATE OF APPLICATION �l SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buil Te ician
(J�t
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
04* *20,00
*20.006
A *0.00
9962.E
'10�22-82
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'0 -12 2- g 2
DATE ISSUED PERMIT NO.
9'96,3z
*2'0,00° h -
TOTAL