1980, 01-10 Permit: 80-31 Water HeaterPLAN NUMBER
APPLICATION/PERMIT- k•p
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
AP LICANT: COMPLETE NUMBERED SPACES - IiRESS4HARD TO MAKE 4 COPIES
BLO SUBD VISTONN �L 4/� k�
JOB ADDRESS
LOT
2.
LEGAL DESCRIPTION - SEE ATTACHED
OWNE
3. ADDR••,,
CONTRAC
4.
5.
ADDRE
DESIGNE
Co -Let.
) 64,t1A/l ied
3707
I jor/?/�//7
PARCEL NUMBER/S
zcgolo
Required Sot Backs In Feet
North South (East 'West
7R /r 7l)
PHONE
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
$prinklered
❑Ves ❑No 0 Req'd.
Valuation 1 Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area I Basement Area ( Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. • OF
WORK
❑ NEW 0 ALT. 0 AD N.
❑ BLD. PLMB. 0 MECH.
0 RPL.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. Lift eG�L
egr
VALUATION
9.
Sodlce
Utilities
GAS
WATER
SEWER
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.
DATE SIGNATURE
•
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE 1 -10 -5Th OFFICIAL P±.---431
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
`o - 3\
03* *550
*550
*5505
E *Q00
302
01-10-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA RM IT.
07-!1:0'= 3:1Z *5.15.O11-2