1982, 03-23 Permit: G82A-2085 Water HeaterPLAN 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 ADDR
LOT
B DC
?/K) SION L —t
3.
0 WNE
A DDRi5S
CO ACTOR CJ6L/2
D ESIGNER
5. ADDRESS
6.
C HANGE OF USE FROM
T YPE
7. O F
WORK
PHONE
P
PHONE f-,}-
ft7t
ZI c
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
PHONE
ZIP
TO
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. - MECH. ❑ M.H. ❑ POOL
❑ OTHER
Size of Parcel
Type Const.
Occupancy
Zone Classification
Valuation
E ESCRIBE WOR
VALUATION
9.
19 Al C
SOURCE
OF
UTILITIES
'GAS
ELECTRIC
WATER
SEWER
Main Floor
Upper Floors
Area of Decks
No. Baths
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Storage
Finished Basement
Unfin. Basement
No. Stories No. Rooms No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Req'd. Rec'd. Not Req'd.
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 FOR REQUIRED INSPECTIONS
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Plann ing
Fire Marshall
Co. E ngineer
Utilit ➢es
Plans Examiner
SEPA_ Checklist
SPECIAL CONDITIONS:
57C)
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
&;A -203
04* *1600
* 1600 tri
* 16006
A *000 S
20842
03 -23 -82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'3 -125-82
DATE ISSUED
208,52 *16,00
PERMIT NO. TOTAL