1982, 03-04 Permit: 82A-1474 Pool 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 ADDRESS
aI L� /6, /://977,7
LOT BLOCK
2
OWNER
3. ,D /? //'/->7 C "" Lee
ADDRESS
i7, e,27) ,t ,67, -?.7 rr c d�
SUBDIVISION
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
ZIP
Actual Set Backs in Feet
North 'South East 'West
CONTRACTOR
4. fry r- z
ADDRESS
/ rays X67 ["
3 7,,q .!J
r,• /
PHONE
Lar -7G6S_
Size of Parcel
Zone Classification
ZIP
;"7,ve '7
Type Const. I Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
r
ZIP
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL
❑ OTHER
Valuation
Building Area in Sq. Ft.
Main Floor 1 Upper Floors 1 Garage Area
Area of Decks
Finished Basement
Storage
Unfin. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
8.
9.
DESCRIBE WORK
VALUATION SOURCE
OF
UTILITIES
GAS
v
ELECTRIC
WATER
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
SEWER
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 J ` y^ i� SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS: No -,,v
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 11- LC)
PERMIT NUMBER
04* *17.00
*17.00
* 1 7.006
A *0.00
147,3
03-04 -82
s 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'� ,3. 0 4- 8 2
DATE ISSUED
147.42
PERMIT NO.
*1700
TOTAL