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1983, 07-14 Permit: 83A-6481 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 1. 2. 3. JOB A lv mT LOT BLOCKK SUBDIVISION ESS ita OWN )11141,44Lt,t) ADDR )'l CONI (1) �/���V�/I A 4. A R SS . /1 1) DESIGNER 5. LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S Actual Set Backs in Feet North 'South East 'West PHONE ;:Pq„./Z PHONE Size of Parcel 1 Zone Classification Type Const. Occupancy Sprinklered ❑Yes ❑No 0 Req'd. Valuation (Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Area of Decks Finished Basement Unfin. Basement O NEW O BLD. O ALT. O PLMB. ❑ AD'N. , MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. 8. 9. DES¢RI8 WORK VALUATION SO1 $tCE F UTILITIES GUla cto Wattita,L� GAS 1)-' ELECTRIC Enum. Dist. Location (Area) WATER SEWER Ownership Public 0 Private 0 USE CODE I 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 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 INSPECTIONS DATE OF APPLICATION 7 ! Tf ` SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Bu = Techtici. n SPECIA NDITIONS: PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing Mech. F� Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER ''A - cam( 04* *1600 *16006 A *00 648.02 07-14-R3 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0'-14=g3 648.1 *16,0'020