1980, 12-18 Permit: 80B-5014 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
ADDIgeN
ZIP
Type Const.
Occupancy
Sprinklered
d
LEGAL DESCRIPTION - SEE ATTACHED
,--
DESIGN R
LOT
BLOCK
Building Area in Sq. Ft.
5.
PARCEL NUMBER/S
2.
I
ISUBDIVISION
ZIP
Main Floor Upper
OWNER
Plylp���
3.
ADDRESS
CHANGE OF USE FROM
Z1Actual
Set Backs in Feet
Finished Basement
Unfin. Basement
p
�
6 � C�
% 3
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. RPL. ❑ MVE.
North South East West
CONTRACT
i'
PHONE
Size of Parcel
Zone Classification
4.
ADDIgeN
ZIP
Type Const.
Occupancy
Sprinklered
d
Dyes ❑No ❑ Req'd.
DESIGN R
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. RPL. ❑ MVE.
Baths
No. Stories
No. Rooms
No. of Dwelling
7, OF' ❑OTHER
1:1BLD. ❑ PLMB. MECH. ❑ M. H. 1:1 POOL
CERTIFICATE
Req'd,
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRIBE V$IRK
Enum. Dist.
Location (Area)
8 / ff��j --"
FEES COLLECTED
VALUATION
SOURCE
AS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTI S
Plumbing
���
DATE OF APPLICATION SIGNATURE OF APPLICA
ch.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities ,
Plans Examiner,
SPECIAL CONDITIONS:
AD , 3 T%4
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $�
PERMIT NUMBER
-5_ t
*9.00
*9,001
A
501,3`'
12-18-80
0479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Te i ian _ 'r PERMIT IS NONTRANSFERABLE 12..- 1.8' !"'B, U� .510.1.4 z * 9..0 0 d FJ-