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1981, 12-09 Permit: 81B-2579 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 ADO ESS ,. 24'L<2 -3 kg LA.) r,. % bre. ALO — B OCK SUBDIVISION 2. 4. OWNFR /e. rti C/C // AE7 72 Z /Lima,[- Aa — It l-ieW'1'IGuc1 4 $3�x L1 It S 3 'pc et 20 2_ LLU -ci 16 LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S Actual Set Backs In Feet North 'South [East 'West Size of Parcel 1 Zone Classification ZIP Type Const. Occupancy Sprinklered_ ❑Yes ❑No 0 Req'd. 5. DESIGNER -PHONE Valuation I Building Area In Sq. Ft. ADDRESS ZIP Main Floor Upper Floors I Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 1/2 0 NEW 7. OF WORK 0 BLD. 8. ❑ ALT. 0 AD N. 0 RPL. 0 MVE. ❑ PLMB. L3'M ECH. 0 M.H. 0 POOL DESCRIBE WORK S 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. Enum. Dist. Location (Area) VALUATION 9. SOURCE OF UTILITIES GA ELECTRIC WATER SEWER 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 REVERSESIDE FOR REQUIRED INSPECz�ONNNS DATE OF APPLICATION I _ f ru ) 'SIGNATURE OF APPLICANT 1�--"" Wee— SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA'Checkhst C Bu \ ecn SPECIAL CONDITIONS: ty e_,s—(—it d#4s lion ei . . Nan c a c.ft w f f lh 11) e Ii c.) 14-.5 rev Merz 4 'zi; OCQ 76i LA,/ 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 $ 110 CP - PERMIT NUMBER g,115—���9 04* *1600 * 1600 '6 * 16006 A *0.00 257.82 12-09-81 2 647.9. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1;,/,„1, i a iI...io'9:- a,ia z 57..9z :1 6. o d DATE ISSUED, PERMIT NO. TOTAL .1 Y O V L