1981, 06-16 Permit: 81A-5993 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
1.
JOB ADDRESS
LOT BLOCK
OR
3. W A7RD/i C /c.5 t e a
A`999' RESS
CON RAC4Ri D-63PI/4/06 I,;t06
TO
l./.L,L-O — NC: cez 0
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
4.
AYJ\r! / . $ 70 7
DESIGNER
5. ADDRESS
PARCEL NUMBER/S
P ONE
,�%<"9?
ZIP
4q ocs6
Actual Set Backs in Feet
North (South [East (West
PHONE 611,
Size of Parcel I Zone Classification
PHONE
Type Const.
Valuation
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement -
Unfin. Basement
TYPE
7. OF
WORK
4 NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. WMECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WOR �y
a ajbWit%L!E—oGl — /2 n /-7/C-4)%
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC Y WATER
Enum. Dist.
Location (Area)
,SEWER
Ownership
Public 0 Private 0
USE CODE
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 loc.I law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEryr-----
DATE OF APPLICATION 4/3/k/ SIGNATURE OF APPLI
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE •
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Ic an k
00.0
U .tea 1 z - 4/i ( b— .E'iltCl)
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
. FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home -
Other (Specify)
faTOTAL $ —
PERMIT NUMBER
at A-se9�
04* *1600
*1600
*1600'6
A *000
599.2
O6-16-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO. TOTAL