1981, 05-12 Permit: 81A-4621 Water HeaterPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
a
�//c) /0 LEGAL DESCRIPTION - SEE ATTACHED
ISIAN Dn Dr -R1 NI IKAQRD/¢
PERMIT NUMBER
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e I elk— +&' z i
u4* *16.00
*1 6 00
*16000
�/�-i12
A * 0, 0 0
3.
ADDRE/$S ZI /� Actual Set Backs in Feet
4 b 2 0 21
/ %jam North South East
West
CONT ACTOR PH NE y 7 Size of Parcel Zone Classification
0 5 - 1 2 - 1
4.S
r 6479
D S Z Type Const. Occupancy
Sprinklered
.
�� �
Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5'
ADDRESS ZIP Main Floor I Upper Floors
Garage Area Storage
_
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
Baths No. Stories
No. Rooms No. of Dwellings
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑RPL. ❑ MVE.
7 11 OTHER
El BLD. 1:1PLMB. �MECH. 1:1M.H. ❑ POOL CERTIFICATE
Req'd. Recd. Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK Enum, Dist, Location (Area)
FEES COLLECTED
8 _
VALUATION SOURCE GAS ELECTRIC WATER SEWER USE CODE
Ownership
9. UTIL TIES 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 local w regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
S �'
DATE OF APPLICATION SIGNATURE OF APPLICA
eh. —sE�
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE �.r�
Pian Check
Env. Health /
Planning
SEPA
i
Mobile Home
Fire Marshall
i
Co. Engineer
Other (Specify)
Utilities
U�
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
Buildi Te ni ian r PERMIT IS NONTRANSFERABLE
416,1/ * 1 a -1