1980, 03-07 Permit: G80-1894 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
1.
2.
3.
JOB ADDRESS
//S //ego
LEGAL.DESCRIPTION - SEE ATTACHED
LOT
BLOCK
UBDIVISION
PARCEL NUMBER/S
OWNER/o A' r_
GG'V -EA- . .P. .
ADDRESS
.6 ,/.s- 4. 71./coy OR
4. ADO Q YJ' .3767
DESIGNER
5. ADDRESS
PHONE
gay 7
ZIP ,c)? 6
Required Set Backs In Feet
North 'South East 'West
Size of Parcel Zone Classification
Z119a-a--()
Type Const.
Occupancy Sprinklered
Dyes DNo 0 Req'd.
PHONE
•
Valuation
Building Area in Sq. Ft.
ZIP
OWL Area I Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
D NEW
D BLD.
D ALT. 0 AD N. 0 RPL. 0 MVE.
❑ PLMB. XMECH: D M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK �7
8. �► l/ }
VALUATION urce
of
9. Utilities
auk- /f�tLc7 ///D
GAS I ELECTRIC
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 of construction.
DATE SIGNATURE '
DEPT.
SPECIAL APPROVALS '
REO'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
S2, saa e, .
DATE. OFFICIAL 1 laP
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
99c&
TOTAL $
PERMIT NUMBER
G "'An -
DATE
04* *9.00
*9.00 N
*9.006
E *000
189.32
03=07-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
3.1-:0'7:1 '0'
189.42 *9.0.0
O J
.d 1-