1980, 02-04 Permit: 80-832 Water Heater PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT � '�3�
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 5
JOB ADDRESS • G 3 * * 5, 0
1.
p-///6,, `alk LEGAL DESCRIPTION - SEE ATTACHED * 5-5,_;
' LOT BLOCK UBDIVISION PARCEL NUMBER/S
0
2. * J, ,_i
OWNER PHONE E 3 0. 0 C.'
7L. 9a/y�/G e-!6
3 ADDRES 0L// ZIP Required Set Backs in Feet 8 3 1
. /.4/ 4 Vaie,, 9c/c North 'South East IWest
CONTRA /'OR PH NE Size of Parcel Zone Classification 0 2-0 - 3 0
n
—�.�e .P14-)-I
�y-//7d s 6.479.
4• App-e6 z'7O 7 r� Zlp� � Type Const. Occupancy Sprinklered
;//' ❑Yes 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 �����/ 0 OTHER A
-
WORK ❑ BLD. rLMB. 0 MECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION p
DESCRIBE WORK
8 (2J „ y� //,2)
/ -- FEES COLLECTED
VALUATION Sour GAS E E TRIC WATER SEWER
o
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 -� -0
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the —7
performance of construction. Plumbing ✓
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA ':.)
Planning _
0_
Mobile Home f'
Fire Marshall —
Co. Engineer Other (Specify)
Utilities TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist 1 THIS BECOMES A PERMIT.
DATA-A-550 OFFICIAL 1C QNUl\ 0 2 L.O `t -8 L' 8 i}. [ * 5. i'
APPROVED FOR ISSUANCE _