1981, 03-04 Permit: 81A-2025 Water HeaterPLAN NUMBER
IDi
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. LEGAL DESCRIPTION — SEE ATTACHED
LOT I 8 -LO SUB I IS ON PARCEL NUMBER/S
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
OWNER
3. I
PHONE�
� 7G�
Area of Uecks
ADDRES --•�� /�
ZI //
Actual Set Backs in Feet
North South East West
CONT ACTOR
PH0NE�j1(�]
Size of Parcel
Zone Classification
Baths
No. Stories
4.
AD �
C�
ZIP
onst.
Type Cccupancy
O
Sprinklered
Elyes ❑No 1:1 Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Stora(
CHANGE OF USE FROM
TO
Area of Uecks
Finished Basement
Untin. Basement
s.
I
Baths
No. Stories
No. Rooms
No. of Dwelling
TYPENo.
❑ NEW ❑ALT. ❑ AWN. RPL. ❑ MVE.
7, OF ❑ OTHER
Q BLD. ❑ PLMB. R,--KAECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIBE WOR }C
Enum. Dist.
Location (Area)
FEES COLLECTED
8
VALUF,TION
SOURCE GAS
ELECTRIC
WA7
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public El Private ❑
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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 INSPECTI NS
Plumbing
DATE OF APPLICATION `•'� ,`' / -� ��- �/ SIGNATURE OF APPLICA �
ech.
SPECIAL APPROVALS
NAME DATE
nv. Health
anning
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
sc�,Ooo 87-A
�= ilding Technician _ PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify) r�
�C1
TOTAL $— a
S IPERMIT NUMBER
9�>cA
4* *1600
0
*1600
202.4
03-04-81 4-81
_ 6: / 4 7 1.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 `3,;_, 0;4? -81 2`0 2.5 z * 1,6 0 0.2 �.