1980, 05-01 Permit: G80-4199 Gas Heater!PLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
3
4. ADDR
JOB ADDRESS
LOT I BLOC
OWNER
ADDR ES
Abir
CONTRAC
r1
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
/c ,9- /vx/ ,
SUBDIVISION
iCA"Ak e
/9 /9,
"/LA /n,t! ,ems
5.
DESIG R
ADDRESS
L'707
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
9.
TO
PHONE
ZIP
PHO E
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
Actual Set Backs in Feet
North South East 'West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
PHONE
ZIP
❑Yes ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
Main Floor
Upper Floors
Garage Area
Storage
Area of Decks
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB.MECH. ❑ M.H. ❑ POOL
DESCRIBE WORK
akeL
VALUATION
❑ OTHER
No. Baths
SOURCE
OF
UTILITIES
2
ELECTRIC
WATE R
Finished Basement
il
No. Stories No. Rooms
Req'd.
ON
ILocation (Area)
L_
Unfin. Basemen
CERTIFICATE
of EXEMPTI
Enum. Dist.
SEWER
Ownership
Public ❑ Private ❑
1 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
USE CODE
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
It
ing T c nician
a
loLorY'LltlyQ
so? 500 - r e--As
PERMIT IS NONTRANSFERABLE
No. of Dwellings
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
G - 00 -'T 1
04* *9.00
*9.00 I
*9.008
E *000 8
419,8g
05 -01 -80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t5:-'0'1'-8 0
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
41.9.95 *9.00,°.F -
PERMIT NO. TOTAL