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1983, 01-20 Permit: 83A-0504 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 ADDRESS LOT 2. / •C ✓VIS ON (\ e.(} ril_e41I IL BLOC II dI LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S OWNER .% /% 0. ,j 3 ' \�-1't5` ADORES() / U ` &' ay/ CONTR,CTOR f 'A P+tir 4 CcSL 4. 5. RC1 PHONE J ;)6?L cie PHONE/d-6,-ie A OTtESS DESIGNER ZI ) PHONE ADDRESS ZIP Actual Set Backs in Feet North !SouthEast (West Size of Parcel Zone Classification Type Const. Occupancy Sprinklereo ❑Ves ❑No 0 Req'o. Valuation Building Area in Sq. Ft. Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE Sty„EW 7. OF WORK LD. ❑ ALT. 0 AD N. 0 RPL. ❑ MVE. ❑ PLMB. ff-MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. 7---- DESCRIB,E WORK 8. SOUR 9. UTILITIES VALUATION GAS , ELECTRIC WATER Enum. Dist. Location (Area) 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 gra ting of a pe, mit does not presume to give authority to violate or cancel the provisions of any other state or !die I law regulatijig constru5t'on or the performance. of construction. SEE REVERSE SIDE FOR REQUIRED INSPE IONS DATE OF APPLICATION /I /�� SIGNATURE OF APPLIC4N // '/- "L"� ���%'r<� SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist ui. •; Tete. i SPECIAL CONDITIONS: rJOI) Si t s 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 $ �� 1 (hi PERMIT NUMBER egur _oso4- 0a *1600 *16006 - A *000 8 503` 0'1 �20-83 61179. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. �7 tI�1� S. ')kk,,( oi'llal!L i:0'.17 8!i71 DATE ISSUED '50;42 *1.600.a�. PERMIT NO. TOTAL