1981, 09-16 Permit: 81A-9423 Water HeaterPLAN NUMBER APPLICATIA!" /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
JOB 4bDRESS
j -:J2 Y LEGAL DESCRIPTION —SEE ATTACHED
el"ILMR11
0
ADD ESS
ZIP
Actual Set Backs in Feet
North South
East West
CO NT V ACTOR *
PHONE
v
Size of Parcel
Zone Classification
4.017
SS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE ❑ NEW ❑ ALT. ❑ AD'N. RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
BLD. ❑ PLMB. MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESC BE RK
Enum. Dist.
Location (Area)
8
FEES COLLECTED
VALU TION
SOU E GX
1UTIL
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
IES
Public ❑ Private ❑
Single $
1 hereby certify that I have read antl 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 re lating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
ATE OF APPLICATION` r�f SIGNATURE OF APPLICANT
oe
Mech. Aw—�
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
c7ll l a 1'i --
SPECIAL CONDITIONS:
�1l.iV
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
UO
TOTAL $
PERMIT NUMBER
51 A- "
04* * 1 6.00
1'
* 1 6.00
A *c 0
9422
09-16-81
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
8'1' 9' 4 `2 j z
*1.6.00`:°1