1980, 11-10 Permit: 80B-3470 Pool HeaterPLAN NUMBER
O
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
JOB ADDRESS )(. //23,..0 re
1.
LEGAL DESCRIPTION — SEE ATTACHED
2.
3
LOT
BLOCK
SUBDIVISION
OWNER
ADDRESS
W- rc1ho1cMerti
PHONE
O -Q °/
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South
East
West
4.
5.
CONTR 1•I'
ADD • ESS
e. &/
DESIGNER
PHONE
Z99,20 .i
PHONE
Size of Parcel
Type Const.
Valuation
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
D NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
O MECH.
❑ RPL.
❑ 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.
DESCRIBE W
8.
R
oc41�`- Cc ✓'
VALUATION
9.
SOURCE
OF
UTILITIES
GS ELECTRIC
Enum. Dist. 1 Location (Area)
WATER
SEWER
Ownership
Public ❑ 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 or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
/(-'/46
SIGNATURE OF APPLICANT
Ant,056,)
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshal
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
wilding T n ian
—�1
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. 2 )
Plan Check ✓.°
SEPA
Mobile Home
Other (Specify)
TOTAL
PEFCNI IT NUMBER
i 8O 432 s 247°
04* *1200
* 1200
* 1200-,
A *000
3469-2
11-10-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11+1,11t110 347.0g#1Z0021-2 -
DATE ISSUED
PERMIT NO. TOTAL