1980, 12-29 Permit: 80B-5259 Water HeaterPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE RUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS1.���� LEGAL DESCRIPTION - SEE ATTACHED
ge7, 115- logLOT I S -LOCK ISUBDIVISION PARCEL NUMBER/S
2.
OWNER NE
3. �-fe J e- i 46,5-136.
HO6 5-13 .
ADDRES �% ZIP/rG/�� Actual Set Backs in Feet
�� J G / / North South East West
l/�Y/,/,�
CONTRA OR
PHONE- t,:%7 ;L
Size of Parcel
Zone Classification
4.
ADDell
Z
Type Const.
Occupancy
Sprinklered
43 Z,269
❑Yes ❑No ❑ Req'd.
DESIGN tR
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Fin
Upper Floors
Garage Ar;T
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Baseme
s.
No. Baths
No. Stories
No. Rooms
No. of Owe
TYPE NEW ❑ ALT.
❑ AD'N.
❑ RPL.
❑ MVE.
],
OF 4"
❑BLD. ❑ PLMB.
�MECH.
❑ M.H.
❑OTHER
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not R
WORK
of EXEMPTION
DESCRIBE VyQ.RK ,
Enum. Dist. Location (Area)
FEES COLLECTED
8. ,-j1C -el' 4fig
VALUATION I SOURCE GAS ECTRIC WATER SEWER Ownership USE CODE
OF Public ❑ Private ❑
9. UTILITIES Single $
1 hereby certify that I haver d 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 thisBuilding
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. SE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICA ech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health /��I� *7
Planning,/ IJCl '
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
�/j�/,//
N I q4,0 -s
04* *90,0
*9:i0
*910U:r.
52.5,8< '1
12-29-8.0
9 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ng Technician PERMIT IS NONTRANSFERABLE1 2' 9 W �; 5 2 �.'9 Z * 9 0 0 a