Loading...
1979, 12-14 Permit: 79-9078 Water HeaterPLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 PERMIT NUMBER P d1,00 DATE za // - — CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES No. Baths No. Floors JOB ADDRESS TYPE El NEW El ALT. 11AD'N. El RPL. 1-1MVE. LEGAL DESCRIPTION — SEE ATTACHED ❑ BLD. LMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK / LOT BLOCK SUBDIVISION VALUATION Sourc,6 GAS ELECTRIC WATER SEWER PARCEL NUMBER/S 2. 9, Utilities 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 OWNE type of work will be complied with whether specified herein or not. The granting of a permit does not presume �� ",_Js�JC� to give authority to violate or cancel_ the provisions of any other state or local law regulating construction or the 3. performance of construction. Plumbing DATE SIGNATURE— Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: ADORES DEPT. REQ'D. RECD. ZI Required Set Backs in Feet ��-.- L� ? North South East West Mobile Home CONTR C R PH E Size of Parcel Zone Classification Z� Utilities S TOTAL $ Zone Clearance 4' ADDRESS THIS BECOMES A PERMIT. y 1 ; 7� ZIP Type Const. I Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP OWL Area Basement Area Garage Area I Storage PERMIT NUMBER P d1,00 DATE za // - — CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms I Room TYPE El NEW El ALT. 11AD'N. El RPL. 1-1MVE. ], OF El OTHER ❑ BLD. LMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK / FEES COLLECTED 8 VALUATION Sourc,6 GAS ELECTRIC WATER SEWER of 9, Utilities 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 Building 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. Plumbing DATE SIGNATURE— Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning Mobile Home Fire Marshall Co. Engineer Other (Specify) Z� Utilities S TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist �j,,.//,.,�y THIS BECOMES A PERMIT. y 1 ; 7� DATIc OFFICIAL