1980, 04-02 Permit: 80-3041 Pool Heater, PipingPLAN NUMBER -t
B'..
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. F 42//6 C�iea P____
LEGAL DESCRIPTION - SEE ATTACHED
2.
3
4.
LOT
BLOCK
SUBDIVISION
CONTACTOR
q--1777azttz
ADDRESS - 5
PHONE
ZIP
PH NE
8� 'Jo??
PARCEL NUMBER/S
Required Set Backs In Feet
North 'South
Size of Parcel
East
'West
Zone Classification .
ZIP
9 9°2_407
Type Const.
Occupancy
Spnnklered
Oyes ONo 0 Req'd.
5.
DESIGNER
•
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
0 NEW
❑
BLD...
❑ ALT.
O PLMB.
O AD N.
O MECH.
❑ RPL.
O M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESC BE WORK
8. frCt,y
VALUATION
r9.
PI- - I. Source 9A/AS - �G.C! RIC
(Source
of
WATER
SEWER
I hereby certify that I have read and examined this applica ion 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 ofrconstruction.
G
DATE �J�/if 0 SIGNATOR
DEPT.
SPECIAL APPROVALS
REO'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
,756 m.
o %O ' 6¢ I " s[�
DAT O
AP
FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. ,
Plan Check
SEPA
Mobile,Home
Other (Specify)
`i/ 6 60
TOTAL $
PERMI NU
AIIIH
ia—.moo-¢/
DATE dal
04*
E
304,08 -
04=02=80
6479. •
* 1-6-00
* 1600 N
* 1.6006
*0.00 R
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11i4'. 'D'2` -8i'0' 3'0'4;1 Z -�,1 bi0 0
C
0
U
W
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