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1980, 06-10 Permit: 80-5565 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 OT BLOCK SUBDIVISION LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S OWNER o7/41,L 3. E/9/QL / 4 $ PHONE ADDRESS 0©7�o ,. 23/ CONTRACTOR 4. R E % ./}4gL eC✓� j;aiiL/./`ovi' ZIP Required Set Backs in Feet North 'South East 'West PPI p NE X35=/-7/✓ Size of Parcel 5. ADDRESS DESIGNER CHANGE OF USE FROM 6. TO ZIP PHONE ZIP Type Const. Valuation Occupancy Zone Classification Sprinklered Yes ❑No D Req'd. DWL Area Basement Area Split Entry TYPE 7. OF WORK ❑ NEW ❑ BLD. 0 ALT. ❑ AD'N. ❑ RPL. 0 MVE. ❑ PLMB. KMECH: 0 M.H. 0 POOL 0 OTHER No. Baths Building Area in Sq. Ft. Garage Area Split Level No. Floors CERTIFICATE of EXEMPTION Storage Rancher No. Rooms Req'd. Rec. Room Rec'd. Not Req'd. DESCRIBE WORK VALUATION Source GAS .ELECTRIC WATER of 9. Utilities 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 to � SIGNA DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist HOME OWNER'S WARRANTY YES U Nc SPECIAL CONDITIONS: DATE OFFICIAL41/141 Qrftia APPROVED FOR ISSUANCE, FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT NUMBER DATE 04* *9.00 *9.00 N *9.006 E *0.00 8 55642 06-10-80 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, TH) CO S q PERMIT. CB6�''�0-0 556,553 *9.002� O w a