1981, 09-08 Permit: 81A-8999 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 3 COPIES
JOB ADDRESS 1 "
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK UBDIVISION PARCEL NUMBER/S
2.
OWN / PHONE
3.
AD ESS "I
ZIP"
Actual Set Backs in Feet
Z!Yi(ewl P 2 1611�
! / f "'7
NorthSouth East West
CON RACTOR
PHONE -�?�
Size of Parcel
Zone Classification
4' SS 7 _
ZIP
Type Const.
Occupancy
Sprinklered
„,rj -:)o )
❑Yes [:]No ❑ Req -d.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF E-1 OTHER
WORK ❑ BLD. ❑ PLMB. MECH. 1:1M.H. El POOL CERTIFICATE Req'd. Recd. Not Req'd.
\\ of EXEMPTION
DESCRIBE WORK 7 Enum. Dist. Location (Area) FEES COLLECTED
8.
VALUATION SOURCEAS ELECTRIC WATER SEWER
C�\ � Ownership USE CODE
9. UTILOITIES 1C Public ❑ Private ❑
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 to aF law regulating,construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPE IONS Plumbing
Ki
DATE OF APPLICATION / SIGNATURE OF APPL? A 7E-� >� i L�� f ./ Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
/
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERM/I�TjNUMBER
,q 1 1
04* * 1 6.00
* 1 6,00
* 1 6.00
A * 0, r, 0
899.81
09-08-81
.F 6,479.
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0�91-''0a4-8°l. 899.92
*16,00R-0 -