1980, 08-04 Permit: 80-8078 Hot Water HeaterPLAN NUMBER
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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
LOT
2.
. ----.) ; ek
:L.CK 1/SUBDI'ASION
LEGAL DESCRIPTION — SEE ATTACHED
3.
OWNER—i—.••
Joy X/,e
ADDRESS /
N /1/-05 'D7e.,C,
ZIP
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South East (West
4.
•
CONTRACTAR
ADDRESS /'h (9 J `972 7
ZIP
Cfj 4." a
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
- Sprinklered
❑Yes 0No 0 Req'd.
5.
DESIGNER
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
O NEW
❑ BLD.
0 ALT.
0 PLMB.
8.
DESCRIBE WORK (�i
VALUATION
9.
❑ AD N. 0 RPL.
❑ MECH. 0 M.H.
O MVE.
O POOL
0 OTHER
�trE C mow.
GAS ELECTRIC WATER
SOURCE
OF
UTILITIES
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
NOt Req'd.
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE •
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions iricluded
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 law regulating construction or the
oerformance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SIGNATURE OF APPLICANT -
. SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examiner
SEPA Checklist
Building Technlclan
O)7
SPECIAL CONDITION 2 5 44%
CU'
'4\ suo.nne Rekik\ Sk°te
y,r
PERMIT IS NONTRANSFERABLE
3
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
b0
TOTAL $,'i '--
PERMIT NUMBER
60-6078
04* *550
*550 N
*5506
•E *000
807.32
08-04-80
# 6.4.7 9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
018;
0:4,1-718f0
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
807.82
PERMIT NO.
TOTAL