HomeMy WebLinkAbout1980, 01-17 Permit: 80-307 Water HeaterBasement Area
Building Area in Sq. Ft.
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
LOT
BLOCK
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
e /30?
SUBDIVISION
OWNER
3.
ADDRESS
CONTRACTOR
/,77 7/ CU
DESIGNER
4' ADD
ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
9/s
PHONE
ZI P
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South (East 'West
Size of Parcel I Zone Classification
Type Const.
Occupancy
Valuation
DWL Area
TYPE
7. OF
WORK
❑ NEW
❑ B.D.
❑ ALT. ❑ AD'N.
KPLMB. ❑ MECH:
8 DESCRIBE WORK &./
VALUATION ource GAS ELECTRIC WATER
of
9. Utilities /X
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Split Entry
No. Baths
Sprinklered
❑Yes ❑No ❑ Req'd.
Garage Area
Split Level
No. Floors
CERTIFICATE
of EXEMPTION
Storage
Rancher
No. Rooms
Req'd.
SEWER
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 OFFICIAL
APPROVED FOR ISSUANCE
Rec. Room
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building t,
Plumbing
cl .�
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
YO- 307
DATE ,v/ (o /�� FQ
04*
E
30,6
01-17-80
6479,
*550
*550
*5506
*000
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 1:-1'
'30,78 *5,50°1-