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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