HomeMy WebLinkAbout1979, 10-11 Permit: 79-5809 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
4.
OWNER
_ •
SUBDIVISION'
ADD SS /3) - U `
P ONE
a6. 174-S
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
ZI��
P/OGi /i 7
ZIP
PHONE
ZIP
TO
D ALT. ❑ AD'N. ❑ RPL. 0 MVE.
IAPLMB. ❑ MECH: 0 M.H. 0 POOL
0 OTHER
DESCRIBE WORK
VALUATION
9.
Sou a GAS ELECTRIC
of
Utilities
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South
Size of Parcel
East 'West
Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
DWL Area
Basement Area
Split Entry
No. Baths
Building Area in Sq. Ft.
Garage Area
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
i1
Storage
Rancher
No. Rooms
Rec. Room
Req'd.
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
Plann ing
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE 10/1 I/�FFICI
/ APPRI��
FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $`�
f'
PERMIT NUMBER
DATE
03* *55,0
*5,50 u)
*5506
E *Q00 0
580,8
10-11-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10.-11'-7'9 580.92
*5.5,0ai.