1980, 07-25 Permit: 80-7708 Pool HeaterLLAN NUMBER
APPLICATION/PERMIT CQAW
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.
2. CCALL 3.
CONTRACTOR , �' �^1 /' .__ O) _ (' rPHO»E cr >....�a
4'
ADDRESS
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DES
IGNER C/ -i
c Cidchscc)
JOB ADDRESS
LOT
BLO
o IOW a3j14
SUBDIVISION
OWNER
ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
PHONNjE /'�1� j►
ZI P
et ot
Required Set Backs in Feet
North 'South [East 'west
Size of Parcel 1 Zone Classification
5. ADDRESS
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PH E Valuation (Building Area in Sq. Ft.
ZIP
DWL Area
Basement Area Garage Area Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
NI NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
MECH:
❑ RPL. ❑ MVE.
❑ M.H. POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
VALUATION
9.
11.3q )LECTRIC WATER / SEWER
Source
of
Utilities
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 I
performance o constructi n.
SIGNATURE s ,
DATE � d
regulating construction
or the
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
tit (f�-P.,�"
CfdOFFICIAL % (�
APPROVED IR IS IANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
r3� oa
DATE
// PERMIT NUMBER
aD 7708
7 ‘Tc --/-6,e---=
4* k16.00
* 13.00 N
* 13,006
E *0.00
770,52
07-25-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
‘..25'J80 ?70.80
*13002'1