1982, 04-01 Permit: 82A-2414 Water HeaterNUMBER APPLICAVON/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE UMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS - J
1. / LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK BDIVISION PARCEL NUMBER/S
2.
OWNEF,_j7— j H NE�
3. �( ,1
ARESS
Z[y'
Actual Set Backs in Feet
r L'�(✓E�
/'Cr
North South East West
CON
RACTOR r N'IE
yf,]�
Size of Parcel
Zone Classification
i
_„�L
4.
7pr —�
Type Const.
Occupancy
Sprinklered
i
G ( '
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors I
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
Baths
No. Stories
No. Rooms
No. of Dwelling
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF 1:1 OTHER
1:1 ❑ PLMB.IECH. El M. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK .
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8.
VALUATION
SOURCE
G S -
ELECTRIC WATER
SEWER
Ownership
USE CODE
9.
OF
I UTILITIES
I
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 a law regulatin construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSP IONS
Plumbing
`
DATE OF APPLICATION " SIGNATURE OF APP' G'
ech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
. /� !+
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
eer
Utilities
Plans Examiner
SEPA Checklist
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
# 1PERMIT NUMBER
6 2-A n ;?41 <4_
Ou* * 1 6,00
1'OC)
*1600
241,3'
r 70
Other (Specify)
UL'
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04401-82' 24145
DATE ISSUED PERMIT NO.
*16.00a�j -
TOTAL