1982, 04-30 Permit: 82A-3367 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 3•COPIES
JOBADDRES ''jj (�. 1
f tl �/ / V� 5111 e, -/-
LOT
B K S B [VISION
2.
4.
5.
DDRESS
/,S/i b-e‘n,<7_t
CONTACTOR
LEGAL DESCRIPTION - SEE ATTACHED
£HONE
�2t '7)0/
Z 9ac)t
PHONEeyy,„>77,
70
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South
East
'West
Size of Parcel Zone Classification
SS
O6 a70%
DESIGNER
PHONE
Type Const.
• Occupancy
• Sprinklered
Oyes ONo 0 Redd.
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors i Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE
7. OF
WORK
O NEW
O BLD.
O ALT. D.AD N. 0 RPL. 0 MVE.
O PLMB., MECH. 0 M.H. ❑ POOL
DESCRIBE WO K
8. GQJc C,
VALUATION
9.
SOURCE
OF
UTILITIES
• GAS
ELECTRIC
WATER
0 OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
Req'd.
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 gr. ' g of a permit does not presume
to give authority to violate or cancel the provisions of any other state or Ioc: regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEC •NS J ow
DATE OF APPLICATION ▪ 9�,1��. SIGNATURE OF APPLI raU 4---.4r/ U-+rn
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Builtlln�Tnician
SPECIAL CONDITIONS:
3t/, 060 "Sri(
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Recd.
Not Req'd.
FEES COLLECTED
Single ' $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT WUMBER
01 -30 -Es -2
447?
01 16. °d 51-
16•
-
(6. oa --re_
/Leoccrz.
�V
e
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
• I¢,?y'3 0!!w'8. 21 3`3''6;'7 :Z *a 6, 0 iD
DATE ISSUED PERMIT NO. TOTAL