1981, 07-02 Permit: 81A-6615 Pool Heater, PipingPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. `A SS O V,�� u« LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK IbUt3UIVISlON I PARCEL NUMBER/S
n
PHONE
CA7L
ZIIP;7
OWNER
3.
--%GH1-'i
PHONE
ADDRESS
��yy
S - 4 oo 4
ZIP
CONTRACTOR
Occupancy
4.
4.
No. Stories
PHONE
ADDRESS
ADDRESS
TYPE 5/N
LIG NEW EI ALT. 11 AD'N. El RPL. El MVE.
G
DESIGNER
5.
% OF
1:1 BLD. ❑ PLMB. �MECH. ❑ M.H. ❑POOL E] OTHER
ADDRESS
n
PHONE
CA7L
ZIIP;7
Actual Set Backs in Feet
�''a1
`�J
"l�ZbC
North South
PHONE
Size of Parcel
��yy
ZIP
Type Const.
Occupancy
No. Baths
No. Stories
PHONE
Valuation
ZIP I Main Floor I Upper Floors
Zone Classification
❑Yes [:]No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area I Storac
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE 5/N
LIG NEW EI ALT. 11 AD'N. El RPL. El MVE.
% OF
1:1 BLD. ❑ PLMB. �MECH. ❑ M.H. ❑POOL E] OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8• i d UCS �-t� " tATE iZ(� NC
VACATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownersh ip
USE CODE
9.
OF
1UTILITIES
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
type of work will `be complied with whether specified herein or not. The granting of a permit does not presume
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of constr1uccttiJQn. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
r)ATF r)F A P P I Ir..ATIrW)1i .:� � .� �CIANATI IRF (1F CII r AWAR .«, / i
Plumbing
Mech. 4 •Oo
SPECIAL APPI
NAM
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Tephni
C-1 i/
%LS I SPECIAL CONDITIONS:
DATE
an PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL s-19,-0-6
}) PERMIT NUMBER
1 A — (�,6, ic;
WHEN MACHINE VALIDATED IN TH
THIS BECOMES A PERMIT.
8 1
li
i SPACE,
661565
1 0
*1,un`:
*n
07-•07-,31
6470
*1.9,0 0 2,0