1979, 07-27 Permit: 79-1165 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 4 COPIES
JOB ADDRESS
e - 0`7> � vcLEGAL DESCRIPTION -SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
3. �W18HPy GAJ
ADDS SS
1 l 70'72 !-:j12DW �W
c 1TQ R
4.
ADDRESS 'i
DESIGNER
5. ADDRESS
CHANGE OF USE FROM �TO
6.
E
NIA
Mrim-
PHONE
ZIP
PHONE
ZIP
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
% OF wnRK ElBLD. ❑ PLMB. VECH; ElM.H. 1:1 POOL
El OTHER
equired Set Backs in Feet
Orth South East
ize of Parcel Zone
Type Const.
Occupancy
SPrinklered
FEES COLLECTED
I
❑Yes ❑No ❑ Req'd.
aluation
Building Area in Sq. Ft.
SEWER
DWL Area
Basement Area
Garage Area
Storage
Single $
Split Entry
Split Level
Rancher
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
No. Baths
No. Floors
No. Rooms
Rec. Room
DA — �7�Z SIGN U
TEy �"�/
Mech. 0
SPECIAL APPROVALS SPECIAL CONDITIONS:
CERTIFICATE
Req'd.
Recd.
Not Rei
of EXEMPTION
SEPA
Planning
DESCRIBE WO
8
FEES COLLECTED
VALUATION Source
GASELEC
RIC
WATER
SEWER
of
9. 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
DA — �7�Z SIGN U
TEy �"�/
Mech. 0
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health i / _
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATE
SEPA Checklist
THIS BECOMES A PERMIT.
�
(i � _) � - � 7
DATE 0FFI AL
PERMIT NUMBER
6 1�9-
DATE
04* *9.00
*900
*9,0061
A *000
1164
07-27--79
;F 6479.