1980, 04-09 Permit: 80P-3262 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 4 COPIES
JOB ADDRESS
LOT
BLOCK
3.
OW ER
SUBDFV 1310N
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
ADD
4. ADDRESF��
l i
CONTRACTOR 9,7/ k)6ziie
tate'—'0
DESIGNER
5. ADDRESS
ZIP
PH NE
4?f ?()
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
PHONE
ZIP
TO
❑ AD'N.
PLMB. ❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
DESCRIBE WORT
VALUATION
ourceGASELECTRIC
of
9. Utilities
Required Set Backs in Feet
North
South East
Size of Parcel
Type Const. Occupancy
West
Zone Classification
Valuation
DWL Area
Basement Area
Split Entry
No. Baths
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
WATER
Storage
Rancher
No. Rooms
Req'd.
Rec. Room
Rec'd.
Not Req'd.
SEWER
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.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
FOR GAS:
PIPE SIZES:
PIPE LENGTHS:
BTU'S:
OFFICIAL CLAAAA—CYN
APPROVED FOR ISSUANCE
FEES COLLECTED
PERMIT NUMBER
DATE
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
4-5-0
TOTAL $ a
03* *5.50
* 5.50
* 5,506
L *Q00
326.12
04-09-80
2 0479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS 14ECOMS A PRMIT.
b'41-09-'80
•
326,25' *5,50°H
II\ICDCOTrID