HomeMy WebLinkAbout1980, 10-21 Permit: 80B-2352 Hot Water TankPLAN NUMBER
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APPLICATIONIPERMIT
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
v ova Edy/r,e nAi
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
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BLOC A
a ADOF S ieRF E. 71104'..6.
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CONT CTOR
4.
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DESIGNER
PHONE
PARCEL NUMBER/S
5.
ZIP
�l�alClo
Actual Set Backs in Feet
North 'South
East
'West
PHONE Y/t 7L
1,1q—// 7?
PHONE
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ONo 0 Req'd-
Valuation (Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE 0 NEW
7. OF
WORK 0 BLD.
8. DESCRIBE WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
0 ALT. 0 AD N.
'LQ PLMB. 0 MECH.
O RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Redid.
'Le C/- %rl1 (2)7
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS ELECTRIC
WATER,
SEWER
Ownership
Public O 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 local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION /
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bui ing ech clan ry
SPECIAL CONDITIONS: •
PERMIT IS NONTRANSFERABLE
•PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify/
TOTAL
J
PERMIT NUMBER
80,6 -z3 -5Q
•03*
* 500
* 500 VI
*5.008
A *0.00
2351R
10-2)-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
a;011-!ed111=8101; 23,5.2.2 *5,'00 g
DATE ISSUED PERMIT NO. TOTAL