1982, 10-26 Permit: 82B-0161 Gas Heateri
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUddLDMO CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADORES
1.
2.
3
LOT
BLOCK
I P76')D- ,&-144-e
SUBDIVISION
OWN
ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
„ZHONE
4' ADD
CONT ACTOR
PH9N E
Actual Set Backs in Feet
North 'South East 'West
Size of Parcel Zone Classification
DESIGNER
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes ❑Na ❑ Req'd.
Valuation (Building Area in Sq. Ft.
5. ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Storage
Unfin. Basement
❑ NEW 0 ALT.
❑q_D'N. ❑ RPL. ❑ MVE.
0 BLD. 0 PLMB. i^i MECH. 0 N H. 0 POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
8.
DESCRIBE WOR
9.
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 I ting of a p: it does not presume
to give authority to violate or cancel the provisions of any other state or I 'c. law regul. i • construe r the
performance of construction. SE REVERSE SIDE FOR REQUIRED INSP:'TIONS
SIGNATURE OF APPi
VALUATION
SOURCE
OF
UTILITIES
Enum. Dist.
ILocation (Area)
Req'd.
Rec'd.
Not Req'd.
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Healtr
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B ing Technician
��
SPECIAL CONDITIONS:
zatow s
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
Oaao1
04* *1600
*16006
A *0.00 8
1602
10-26-82
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
LO -26-82
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
16,1 z
PERMIT NO.
*1 6. 0 0 0_
TOTAL