1981, 04-29 Permit: 81A-4065 Pool HeaterPLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
1)
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
V 4* C O
n
JOB A DRESS t
LEGAL DESCRIPTION — SEE ATTACHED
*2r Y
L07
BLOCK
O
PARCEL NUMBER/S
2.
ii
CIOMPIR�
PHONE
� J �
U
A ESS �/J ' t
ZIP
Actual Set Backs in Feet
North South East West4
- 9 —
CO TRACTOF�
PHONE
Size of Parcel
Zone Classification
b 479.
4. ADDRESS
I _ /
Type Const.
Occupancy
Sprinklered
/0 rZL
2G-ems
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
_
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. El MVE.
Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
of EXEMPTION
ESCRI$E WOR Enum. Dist. Location (Area)
FEES COLLECTED
ALU ON SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public EIPrivate ❑ 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
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
� � _ � �
DATE OF APPLICATION '^ SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS I SPECIAL CONDITIONS: f'
NAME DATE Plan Check
Env. Health / aL�
0
/./l�
Z. SEPA
Planning
'A
ll�� Mobile Home
Fire Marshall .--�-��
Co. Engineer Other (Specify)
Utilities
TOTAL $
�
Plans Examiner �rjri/ / ��
F
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE/I
0�4i-�2'9 -it,ll
1-
40�65 9 *-120 0 a