1979, 07-26 Permit: 79-1047 Water HeaterPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPAQES —XRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1. /,/,P) / '5;' I LEGAL DESCRIPTION — SEE ATTACHED
PERMIT NUMBER
7/- /L
DATE
8.lam^ Z
OWNER
VALUATION
NE
PH3.
GAS
ELECTRIC WATER
SEWER
9.
of
Utilities
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
ADDRESS
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
ZIP
Required Set Backs in Feet
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
Plumbing
North South
East West
CONTR CTOR
SPECIAL CONDITIONS:
PHONE
Size of Parcel
Zone Classification
Plan Check
Env. Health
)
4'
ADORES
�-
_
�
Planning
ZIB
Type Const.
Occupancy
Sprinklered
��
�'�
Fire Marshall
� ft��
❑Yes ❑No ❑ Req'd.
DESIGNER
Utilities
PHONE
Valuation
Building Area in Sq. Ft.
5.
TOTAL $ f
Zone Clearance
ADDRESS
WHEN MACHINE VALIDATED IN
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split
Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE ❑NEW
El ALT. 1-1AD'N. El RPL.
11MVE.
],
OF
❑OTHER
CERTIFICATE
Req'd.
Recd.
Not Rei
❑BLD. ❑ PLMB. MECH: ElM.H. 1:1 POOL
WORK
of EXEMPTION
PERMIT NUMBER
7/- /L
DATE
8.lam^ Z
VALUATION
Source
GAS
ELECTRIC WATER
SEWER
9.
of
Utilities
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
Building
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.
Plumbing
DATE SIGNATURE—
MechGP4
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
/� k
TOTAL $ f
Zone Clearance
WHEN MACHINE VALIDATED IN
SEPA Checklist7
f �
THISi1BECOMES A PERMIT.
OATEN OFFICIAL 1/�/ ✓K�/w�`r�l,
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07-26-79
;? 6479.
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