1981, 12-01 Permit: 81B-2289 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
INTI 604-x4ta"-
SUBDfVISfON
JOB ADORES
LOT
B
LEGAL DESCRIPTION - SEE ATTACHED
3. .,..,.". �-7L /(� ve 72
ADD
Qr RACTOh 7
_,v s5,7
5.
X70T
DESIGNER
P1-ION/E/
ZIP
PARCEL NUMBER/S
/%6
PHONE
Actual Set Backs in Feet
North (South
East
'West
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ONo 0 Req'd.
Valuation' I 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
Unfln. Basement
0 NEW
❑.BLD.
0 ALT.
❑ PLMB.
0�A D N. 0 RPL.
4dMECH. 0 M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
8.
9.
DESCRIBE WORMlei d
VALUATION SEWER '
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
. Enum. Dist. 'Location (Ar a)
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 ocal law regulating construction or the
performance of construction. EE REVERSE SIDE FOR REQUIRED I ECTIONS
,//
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
l Buc
SIGNATURE OF
SPECIAL CONDITIONS:
,cFio 87 &
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
r
FEES COLLECTED
Single $
Building
Plumbing
ech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
Uil
PERMIT NUMBER
fb Cc, -2289
04* *1600
* 1600 tn-
* 1600
A *000 8
212882
12-01-81
2 -6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
`1;2xi7'0`1 it:811
DATE ISSUED
22:&'9 *160n 0°J
—
. PERMIT NO. TOTAL