1982, 07-15 Permit: 82A-6053 Solar Hot Water SystemPLAN 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
LOT
,PAN4 �� Io►�
BLO K SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
�" I
3 ({k C7 1
ADDRESS '"VI
13C0 oik kA
C7
cP�jO�N EE
HG/ Cott? 2-
PARCEL NUMBER /S 2,3
CONTRAICTO,R
5I„32--
4. AD``D D ESSS
ZIP
Actual Set Backs in Feet �'x g X4.0
North !South East
West
Size of Parcel
TyppeConst.
Occupancy
Zone Classification
t --tAgv"""--t
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Value
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WO RK
El NEW [0 ALT. ❑ AD'N. 111 RPL. 11 MVE.
0 BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
DESCRIBE WORK
VALUATION
9. OC%
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership ,_/ 'USE CODE
Public ❑ Private L06
Req'd.
Rec'd.
Not Req'd.
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
e 2--_ SIGNATURE OF APPLICA
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONSO
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
4.37-p.° c c
02* *6800
*68,006
A *0.00
605.2
07 -15 -82
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'7 -15 82
605.,35 *68.00 J -
PERMIT NO. '0 FAL.