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1986, 06-01 Permit App: 00011867 Gas 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 Job ADDRESS LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK .SUB ISION PARCEL NUMBER/S 065 11-3 + rj 2. OWNS PHONE 3. C :'a h 0 -- ADDRESS - f It.,7 ADDRESSZIP Actual Set Backs in Feet b1,4c� � 2 /f, North South East West COP4TRACTOR PHONE Size of Parcel Zone Cilassification 4.ADDRESST UUT l t-N��� 6- O�vrn��tirr �(J7 f 5u� ADD ESS ZIP Type Const. Occupancy Sprinklered r ❑Yes [—]No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. TYPE❑ NEW ALT. 1:1 AD -Nm ( No. Baths No. Stories No. Rooms No. of Dwellings ❑ 7, OF RPL. ❑ MVE.' ❑ OTHER WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd- Not Req'd. of EXEMPTION DESCRIBE WORK Enum, Dist. Location (Area) $, FEES COLLECTED �• VALUATION SOURCE GAS ELECTRIC WATER SEWER OF Ownership USE CODE 19. UTILITIES Public ❑ Private ❑ Single $ 1 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 Building to give authority to violate or cancel the provisions of any other state or local/tFA regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTAONS Plumbing DATE OF APPLICATION I T i J 7`�JJ S GNA URE OF APPLICA Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health , Planning Fire Marshall Co. Engineer. Utilities Plans Examiner SEPA Checklist Building Technician PERMIT IS NONTRANSFERABLE SEPA Mobile Home Other (Specify) PERMIT NUMBER i ! 4:2�-7 TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT.