1980, 01-18 Permit: 80-0332 Water HeaterPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
3.
JOB ADDRESS
LOT
OWN
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APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
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DESIGNER
5.
ADDRESS
6.
LEGAL DESCRIPTION — SEE ATTACHED
CHANGE OF USE FROM
TYPE
7. OF
WORK
❑ NEW
O BLD.
DESCRIBE WORK
PHONE
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ZIP
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PHO,NE
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PHONE
ZIP
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❑ ALT. 0 AD N. 0 RPL. ❑ MVE.
❑ PLMB. )'MECH: 0 M.H. 0 POOL
PARCEL NUMBER/S
Required Set Backs in Feet
Size of Parcel
Type Const.
Occupancy
Valuation
DWL Area
Basement Area
Split Entry
No. Baths
CERTIFICATE
of EXEMPTION
West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Split Level
Storage
Rancher
No. Rooms
Rec. Room
8
VALUATION ,ci ' ts, /f GCST
VSource 'tAS ELECTRIC
of , /
9. Utilities /X_
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.
WATER
SEWER
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
/8
O
APP' i r FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
$
TOTAL
PERMIT NUMBER
DATE
04*
* 9.00
* 9,00
* 9.008
E *0.00 8
3318
01-18-80
2 6479
•
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
011-1'8.-8 0 ,3 32 5
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