HomeMy WebLinkAbout1980, 08-22 Permit: 80-8996 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 ADDRESS
LOT
BLOCK
//4S/I. /h4y(»e//
SUBDI ISION
LEGAL DESCRIPTION - SEE ATTACHED
OWNER /
ADDRESS
(/ X/7
RN -
P ONE
iatcg
PARCEL NUIMBER/S'
4.
5.
CONT) ACTOR
DESIGNER
t;. / ' c,k Y /x) C—//
3.707_
zl j ,e,
Actual Set Backs In Feet
North •. 'South
East
(West
PHONE
0917-7/ 70
?e/' �-e)
PHONE
Size of Parcel
Type Const.
Valuation
Occupancy
Zone Classification
Sprinklered
❑Yes ONo 0 Req'd.
Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfln. Basement
No. Baths
No. Stories
TYPE 0 NEW ❑ ALT. ❑ AD N. ❑ RPL. 0 MVE.
7. OF•❑BLD.—' LMB. 0 MECH. M.H. 0 POOL 0 OTHER
WORK
DESCRIBE WORK Lt�z 9 /z J
8.
VALUATION SOURCE G S ELECTRIC WATER SEWER Ownership
9. UTI LLIITI ES Public 0 Private 0
I hereby certify that I have read and examine 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 SIGNATURE OF APPLICANT
CERTIFICATE
of EXEMPTION
Enum. Dist.
No. Rooms
No. of Dwellings
Req'd.
Recd.
Not Req'd.
Location (Area)
USE CODE
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
o. Engineer
Utlhties
Plans Examiner
SEPA Checklist
Building Tgcfnician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home.
Other (Specify)
"—SD
TOTAL
$ s s
PERMIT NUMBER
e50 -f3Wc
04*
*S50
*550
*5.506
E *Q00
,899.1
08-22-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
pi8 r22!'8,08 9 9,.6'z
*5.'5f'aDr
DATE ISSUED PERMIT NO. TOTAL