1981, 08-14 Permit: 81A-8150 Pool 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 L11 -11C
��
1. C.t�L+ � '3Y Ili rJ{2.
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
2.
OWNER
3. Ci'1%,[00a< pjN�.A10
ADDRESS
�' ' -Ia 00
PARCEL NUMBER/S
PHON
4.
CONTRALTO
b t'
PHONE I'"c
Actual Set Backs in Feet
North 'South East 'West
Size of Parcel 1 Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Vas ONo 0 Req'd.
5.
DESIGNER
PHONE
Valuation (Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO -
Area of Decks
Finished Basement
Unfin. Basement
CJ NEW 0 ALT- 0 AD N. 0 RPL. 0 MVE.
❑ BLD. 0 PLMB. L7 MECH. 0 M.H. 0 POOL
8.
9.
DESCRIBE WORK
V AL TION t-Ak
SOURCE
OF
UTILITIES
GAS
ELECTRIC
0 OTHER
125; °1�
WATER SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
En um. Dist.
Ownership
Public 0 Private 0
Location (Area)
USE CODE
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
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
ammng
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
=Y/ T h/ficiai .
SIGNATURE OF APPLI
ECIAL CONDITIONS:
ANT
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech. 1[77
PlanCheck
SEPA
Mobile Home
Other (Specify)
TOTAL
$
8
PERMIT NUMBER
tk- ,g5v
04* *19.00
* 19,00
* 19.006
A *0.0.0 8
81492
08-14-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.',
'0:81,7 :'41,78,1,
81'S;0 Z
DATE ISSUED PERMIT NO.
*1'9.00°ae-
TOTAL
>-
0-
0
0
J
LL