1983, 04-01 Permit: 83A-2526 Water HeaterAPPLICATION/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
JOB ADDRESS
1.
3'JrZ V 1. C�-7-�-/Z d
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK 75 B (VISION
3.
OnroWNER
/ tj U
HONEw
% /S15—%
PARCEL NUMBER/S
CO TRACTOR
4. 197,51
240a- 10
PHONBIt/fc 2>
04--//7()
Z4'l asarr
5.
DESIGNER
PHONE
ADDRESS
ZIP
Actual Set Backs In Feet
North (South East 'West
Size of 'Parcel Zone Classification
Type Const. Occupancy Sprinklered .
❑Ves ONo. 0 Req'd.
Valuation Building Area In Sq. Ft.
Main Floor Upper Floors Garage Area - Storage
CHANGE OF USE FROM
6.
TO
Area- of Decks
Finished Basement
Unf in. Basement
TYPE 0 NEW
7. OF
WORK' 0 BLD.
DESC BE YORK
8.
VALUATION
9.
❑ ALT. 0 AD N. COs RPL.
❑ PLMB. �'MECH. 0 M.H.
50URCE
UTILITIES
GAS
0 MVE.
❑ POOL
cihr
ELECTRIC
WATER
0 OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Ownership
Public DPrivate 0
USE CODE
Req'd.
I hereby certify that I have read and examined this application and haveread 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 loci/taw regulating construction or the.
performance of constructio . SEE REVERSE SIDE FOR REQUIRED INSPECL,IONS
DATE OF APPLICATIOj SIGNATURE OF APPLI
SPECIAL APPROVALS SPECIAL CONDITIONS:
.1A—. ODD 6>-i‘ .s
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 NUMBER
04* *16.00
*16008
A *.000 0
252.52
104=01-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
I .i1.'y r,f •1 ,
r 14''':' d V r . O, k O; J,
0 Az,0' -!,— i3,: 215; 2:6 z 116.OM: i -, -
DATE ISSUED PERMIT NO. TOTAL
1'
0-
0
0
U
J
LL