1979, 11-07 Permit: 79-7425 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
1.
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
8 'qe� /-/IV /
O RP
�Z,
Source
ONE
0V/V
E�TRIC
WATER
3.
9.
of
Utilities
ADDRESS
ZIP
Required Set Backs in Feet
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
DATE SIGNATURE—
North South
East West
SPECIAL CONDITIONS:
CONTR TOR
DEPT. REQ'D. RECD.
PH9rNE
Size of Parcel
Zone Classification
4'
SEPA
Planning
ADD ESSZI
Mobile Home
Fire Marshall
�
Type Const.
Occupancy
Sprinklered
-nf�
-,�
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry --jSplit
Level
Rancher
6.
TYPE ElNEW ❑ALT.
1:1AD'N. El RPL.
ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
10OTHER
❑ BLD. I PLMB.
ElMECH: EJM.H.
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
/
of EXEMPTION
I
8 'qe� /-/IV /
FEES COLLECTED
VALUATION
Source
GAS
E�TRIC
WATER
SEWER
9.
of
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
DATE SIGNATURE—
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
-•..._,,,__
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
PERMIT NUMBER
DATE
03* *5.50
*5.50
74242
11-07-79
;? 6479,
Utilities
TOTAL $�
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ///)�%�// THIS BECOMES A PERMIT.
DATE /1-%-7`! A2 L IC.c�c�-c�
OFFICIAL �-