1980, 04-07 Permit: 80-3635 Hot Water Tankw
PLAN NUMBER T.
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
1. LLTBLOCK S ,t2111D4 Fie
2.
3.
OWN
ADD' ESS
LEGAL DESCRIPTION — SEE ATTACHED .
/;l PadaAd d -v
PHONE
//y IP
4.
CO TRACTOR
6-419/ at
ADDRESS
i JcP4 Ae A-C�
z l ca2.6%
5.
DESIGNER
PHONE
ADDRESS
ZIP
PARCEL NUMBER/S
Required Set BacksIin Feet
North 'South (East IWest
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
Valuation Building Area I Sq. Ft.
OWL Area 1 Basement Area Garage Area Storage
6.
7.
CHANGE OF USE FROM
•
OF
WORK
TO
❑ NEW 0 ALT. 0 ADN. IJ RPL. 0 MVE.
0 OTHER
0 BLO. 0 PLMB. 0 MECH: 0 M.H. 0 POOL
8.
9.
DESCRIBE WORj(
VALUATION ���(
Source
of
Utilities
Split Entry
No. Baths
Split Level
No. Floors
No. Rooms
Rancher
Rec. Room
• CERTIFICATE
of EXEMPTION
%T- coli d 11n `SIJ
GAS ELECT If f WA R SEW•
Req'd.
Recd.
Not Req'd.
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
o give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance,df cynstruction.
SIGNATUR
SPECIAL APPROVALS
DEPT. REO'D. REC'D.
Env. Health
Planning
re Marshall
rt. Engineer
Ublitles
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
-�D
t 6 3-r5
DATE/Z
FEES COLLECTED
Single
Building
Plumbing
Mech.
DATE
DG .
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ .617
PERMIT NUMo
so X605
04* '*.1200
*i1200 h
*12006
E *Q00 .8
36348
04=1'7-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THI BECO _ EA RMIT.
,
���+'- t 36'3:5 d•
*120