1983, 04-26 Permit: 83A-3336 Water HeaterPLAN NUMBER APPL ICAT ION /PERMIT
PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES
PARCEL NO.
STREET? DRESSS��%%
/�
0-72,4 ox
LOr
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
2.
I
PHONE
3.
M I G AD RE
Actual Set Backs in Feet to:
i
7/l /+✓
North South East
West
CONT C
LICENSE EXPIRESP O
Size of Parcel
Zone Classification
Residential ❑
Commercial ❑
4. AD SS� r � ��d IP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑Req'd.
DESIGNER PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
J. ADDRESS ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
Cover Deck
Uncv. Deck
Fin. Basement
Unf in. Basement
s.
TO—-
No. Baths No. Floors No. Fin. Rooms No. Dwellings
TYPE .2 NEW ❑ ALT. ❑ �D' N. El RPL. ElMVE.
7 OF El OTHER
WORK El BLD. ElPLMB.,B/MECH. ElM.H. 13POOL Certifi.ofExempt. Required
Yes❑ No El Number
or Variance Received
Yes❑ No 11
DESCRIBEWOR Shorelines/ Flood Hazard
8 OR
Plans Required ❑
Yes❑ Not Applic. ❑
Received ❑
VALUATION SOOFCE GAS ELECTRIC PUBLIC O SEPTIC El Ownership
1 1
FEES COLLECTED
9• UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private ❑
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 type of
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
Building
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REV SE SIDE OR REQUIRED INSPECTIONS
Plumbing
SIGNATURE OF APPLICATION ?
�J
OWNER OR AGENT DATE '_0 '
Mach.
SPECIAL APPROVALS SPECIAL CONDITION . (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
SEPA
Planning
Modular/
MFG. Home
>_
Fire
d
Prevent.
O
Engineer
Other (Specify)
V
W
J_
Utilities
U_
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE
THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech mg�4j IN 160 DAYS
9s4-96-83 j, 6 Z
* 16. 0 O
DATE UE PERMIT
%Y-AL