1980, 01-22 Permit: 80-470 Water Heater PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER. '
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 0
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS `', LIGAL DESCRIPTION — SEE ATTACHED k ; c
LOT BLOCK S DIVISION PARCEL NUMBER/S * 9
2.
OWNER PHONE L.: 'A` G C U E
3. u 46. 9
ADDRESS / ///''' /� ZIP Required Required Set Backs in Feet
7/ W(�y."17 J�yf/1�I /r`GCy Lam/ crtC //per a� North 'South East (West 0 1 -2 2 8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
, -Irsf-7 ae4At-111 �aY7 eff/cA,c 4,c 9.15`2-/4'u 6 ili79,
4' ADDRESS /'/y ` y ZIP / Type Const. Occupancy Sprinklered
C /OZ 7/!J /..ves'/ ,r,✓ey > J o/FK.i,e/ u 77 /(� Eyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH: 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK �e
8. /ep/G-f C to f/t 1'S e....-7" 4 /e/t /lieu / e!t w-,/}
`t /r/,,,,i.-- .41. A( ,$•' '14 FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
Single $ —
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 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 if—7t7 `� 8-c/ SIGNATURE / ! . ./.— �-A.., Mech. 3,va
SPECIAL APPROVALS SPECIAL CONDITIONS: ✓ o.Gid
DEPT. REQ'D. REC'D. Plan Check
Env.Health
yo?, G'!/✓ /5 TGt SEPA P
Planning / /1/P r✓ /:f7' �-c� o!£ 14.0..--/-e-,•c� Wy
// Mobile Home `p
Fire Marshall =
Co. Engineer Other (Specify)
Utilities
TOTAL $ / od
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. r. r1 r, , *,-, - 0' '.
•I--
u 7J
DATE O F F I C I A LAr'IcLt'r"--- - ,-.
APPROVED FOR ISSUANCE —