1983, 12-13 Permit: 83B-2471 Hot Water TankPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4564675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
ail /. '&{3-L
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
OWNER j 0��
3.MAILING ADDRESS/1,
7rol / /c"//
PHONE PHONE
172ai4&
Wzor
Actual Set Backs in Feet to:
North 'South `Fast I West
CONTRAC R
yrs dies rs
4. ADDRESS/
DDRESS ,� 6. //f. .2 2
DESIGNER/. .67
�l
5.
LICENSE EXPIRES.
P /1J4
PHONE
Size of Parcel
Zone Classification
Residential 0
Commercial 0
Type Const.
Occupancy
New Const Valuation
Spr'nkiered
DVes DNo ❑Req 1d.
Remodeled Valuation
Total Bldg Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin Basement
UnfIn. Basement
TYPE 0 NEW 0 ALT. 0 AD' N. 0 RPL. C MVE.
7. OF
WORK 0 BLD.
0 PLMB. 1MECH. 0 M.H. 0 POOL 0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No Dwellings
Certif1 of Exempt.
or Variance
Required VesD Not
Received Vesl No❑
Number
8.
9.
DESCRIBE WORK
VALUATION
axe
SOURCE
F
UTILITIES
At
GAS ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Shorelines/Flood Hazard
Yes0 Not Apolic.0
Ownership
Public 0 Private 0
I hereby certify that I have read and examined this appl cation 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-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVE SI • E FOR REOUI • D NSPEC • NS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
/./ ! 4071 .La. APTECATION
SPE - L CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
gps
12/13
C2., DDO /0- -FlLS
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Rego red
Received 0
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Horne
Other (Specify)
TOTAL $ Jle
PERMIT NUMBER
836- 24-71
04* *1600
*16.006
A *000
24702
12-13-83
2 6479.
Y
CO
U
W
J
IA -
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
ribj .w, 4
DATE IS2JEDc 13' - 8 3.
PERMIT?1 7'1 Z
*3100VDtAL