1982, 07-22 Permit: 82A-6300 Water Heater, DamperPLAN 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
1.
2.
3.
JOB ADDRESS /
1/7/7 /1ennR4 Lk
LOT BLOCK SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
JoseM 694/YAW U/Cil
PHONE
9,21-zzoy
PARCEL NUMBER/S
ADDRESS n�1
,e, 1Iv7 ,6/VORA a2.
'5
g,12D�
Actual Set Backs in Feet
North 'South (East (West
4.
CONTRACTORA1/ �/^� //
1� Q&/J/ /"i' 3 e
ADDRESS
/x770 rnd4na
PHONE
C1at-2100
Size of Parcel 1 Zone Classification
ZIP
9gai6
Type Const.
Occupancy
Sprinklered
❑Yes ONo 0 Req'd.
DESIGNER
PHONE
Valuation 1 Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE 0 NEW'
7. OF
WORK 0 BLO.
O ALT.
O PLMB.
O AD N.
O MECH.
O RPL.
O M.H.
❑ MVE.
0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
Merivore
W44A /l��r
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
I hereby certify that 1 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 orcancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
7 — / z - B L SIGNATURE OF APPLICANT
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examine
SEPA Checkl
MIL
'ch }�
r
SPECIAL CONDITIONS:
h
/v1SJAa6 F/�iJjic� ,D���}MPE>2
„
/ -/7ilnet- �7�I 4nn O rn» ,k—
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
r
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
/ o `—e
y110
�`-
9
PERMIT NUMBER
87.4, -G°XJo -
04* *19.00
*19.006
'A *0.00
629.92
07-22-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES APERMIT.
0'11.:.2(2-82: 63QO5 *'19,00 2,0
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED% PERMIT NO. TOTAL
0-
O
LLJ
U