1979, 08-29 Permit: 79-3024 Hot Water TankPLAN NUMBER
APPLICATION/PERMIT
• SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
a a/� • la r,��
LEGAL DESCRIPTION - SEE ATTACHED
2.
'3
4.
LOT
BLOCK
OWNER
ADDRESS
SUBDIVISION"
CONTRA/C}T�f�-''R,
ADDRESS
1.14-e P
O
ze
0-7/ -a 7
DESIGNER
5. ADDRESS
PZ 5/-71a8
ZIP 9civio
PH NE
9-//2&
ZIP •
PHONE
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South
Size of Parcel
Type Const.'
Valuation
Occupancy
East
'West
Zone Classification
Sprinklered
❑yes ❑No ❑ Req'd.
Building Area In Sq. Ft.
ZIP
DWL Area I Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. .OF
WORK
❑ NEW ❑ ALT. ❑ AD N. 0 RPL. .0 MVE.
❑ BLD. F PLMB. 0 MECH. 0 M.H. . 0 POOL
DESCRIBE WORK
8.
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
% r.P / �/ ./ of EXEMPTION
C 7 rC-t2 V^ -e ak-&-e-
Req'd.
Rec'd.
Not Req'd.
VALUATION
9.
So dr ce
• of
Utilities
GAS
ELECTRIC
WATER
SEWER
I hereby certify that I have read and examined this applica ion and have read the "NOTICE" provisions included.
onreverse 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 or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
APPROVEi FOR ISSUANCE
DAT*, OFFICI
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ f'
PERMIT NUMBER
79 -30;A
03*
*550 17)
*5506
A . *Q00
30232
08-29'-79
3 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'8'.,219 !-7'9
50'2'4,=
*5.5.0
0
U
W
CIz