1982, 07-07 Permit: 82A-5735 Water HeateroLAN:N UMB E R
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 d.
1. 5. J EN
LOT BLOCK 5 BDI ISION
2
a OWNER ki s rim
CONTE3/,4TQfji , 1
4. ADDRESS
ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
7-9i%
H NE G
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
East
'West
Size of Parcel
Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes DNo 0 Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WO RK
0 NEW
0 BLD.
ELT.�0 AAD N. El RPL. 0 MVE.
E
❑ PLMB. MECH. 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.
B.
9.
DESCRIBE WORK
frir
5 ER
VALUATION
SOURCE
OF
UTILITIES
GA6
ELECT
WATER
Enum. Dist. I 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 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 REOUIRED INSPECTIONS
DATE OF APPLICATION 7-6-8g, SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Eza miner
SEPA Checklist
SPECIAL CONDITIONS:
N-fC - = z y, K4 P,-r<J
PERMIT 1S NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
IPE RMITik . . 93;
04* *1600
*16006
A *000
5734
07--07-82
-6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Ojli';�;0+7.-9'.2': 5'715Z'
DATE ISSUED
PERMIT NO. TOTAL
[II r ItriOV