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1981, 03-17 Permit: P81A-2475 Change out Hot Water TankPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD T MAKE 3 COPIES JOB ADDRESS t" --z-/ At P. b. LOT CK/S`UBDIVISIONN LEGAL DESCRIPTION - SEE ATTACHED OWNEBR 3 ADDRES0 Li /C /7u�!�Y cONr `c�/alb (�1cl _4//J1 /13 R C/,l.'E'_S- £&e/I3 4. PHONE V ZIP PARCEL NUMBER/S Actual Set Backs in Feet North (South East West P ONE 57/7D Size of Parcel Zone Classification ADDRE .4, &A 57©7 ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No 0 Req'd. 5. DESIGNER PHONE Valuation Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK 8. 9. NEW 0 BLD. DESCRIBE WORK VALUATION ❑ ALT. 0 AD'N. PLMB. 0 MECH. SOURCE OF UTILITIES AS ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ELECTRIC WATER 0 OTHER SEWER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Enum. Dist. Location (Area) Ownership Public 0 Private 0 USE CODE Req'd. 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 cg-istruction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS, / 1 DATE OF APPLICATION 73 — SIGNATURE OF APPLICANT 1-0 SPECIAL SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Enginee Utilities Plans Examiner SEPA Checklis Buildi ec SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE Rec'd. Not Req'd. FEES COLLECTED Single $ Building Plumbing 9� Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT NUMBER 03* *9.00 * 900 * 9,006 A *0.00 247.42 03-17-81 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 24752 *9.0020 - PPRMIT NO T TAI c c c