1982, 02-23 Permit: 82A-1213 Water HeaterPLAN NUMBER —� APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICA T: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOBRESS -
S t�� t�dd?�� -1
LEGAL DESCRIPTION - SEE ATTACHED
1. LOT I BLUCK IbUBDIVISION [/ I PARCEL NUMBER/S
3. — i`Zf r CA -
AD SS�J1' ZIP Actual Set Backs in Feet
V
3 North South East West
CO RAW R PHONE Size of Parcel Zone Classification
4' At5QRESSIZIP Type Const. Occupancy Sprinklered
v 1 Dyes []No ❑ Req'd.
C£SIGNER PHONE Valuation Building Area in Sq. Ft.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks I Finished Basement Unfin. Basement
6.
TYPENEW AD
No. Baths No. Stories No. Rooms No. of Dwelling
❑ ❑ 'N. ❑ RPL. ❑ MVE.
%, OF 1:1BLD. B. ❑ MECH. ❑ M.H. ❑ POOL ❑OTHER CERTIFICATE Req'd. Recd. Not Req'd
WORK of EXEMPTION
8 DESCRIBE WORK G `� •7— Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION SOURCE G AS ELECTRIC I WATER SEWERUSE CODE
Ownership
9. UTILITIES OF Public ❑Private ❑ 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 INSPECTION Plumbing
IE OF APPLICATION SIGNATURE OF APPLICANT Mech. 'DU
;SPECIAL APPROVALS SPECT CONDITIONS:
NAME DATE ff) Plan Check
Env. Health
Planning SEPA
11 �}.-- FIY/v/ //fit_ ✓\/{.�'�`.
Fire Marshall Mobile Home
Co. Engineer V Other (Specify)
Utilities
Plans Examiner
SEPA Checklist
n a
_ --4-6
PERMIT IS NONTRANSFERABLE
TOTAL $ `%
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12132
`2, 2 31 8'2
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