1982, 02-08 Permit: 83A-921 Water HeaterPLAN NUMBER::::] APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADD SS
LEGAL DESCRIPTION — SEE ATTACHED
LOT 1 --BLOCK SUB I I { PARCEL NUMBER/S
2.
OWN R �, PHONE
3.
DDRES
i
ZIP�I
Actual Set Backs in Feet
/
North South
East West
CON,T4ZACTOR
PHONE�(��
Size of Parcel
Zone Classification
4•pR JS
IP �y
Type Const.
Occupancy
Sprinklered
L L..../
v�
❑Yes [:]No El Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5. ADDRESS
71-F
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished
Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. `4—RPL. ❑ MVE.
7• OF / ❑ OTHER
1:1BLD. ElPLMB. MECH. ❑ M.H. ElPOOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK `A
of EXEMPTION
DESCRIBE W RKEnum. Dist. Location (Area) FEES COLLECTED
8 ��
VALUATION SOUR GAS ELECTRIC WATER SEWER Ownership USE CODE
O ❑ Private ❑
9. UTILITIES Public
I I
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 provi'io nsof, laws and ordinances governing this
Building
type of work will be complied with whether specified herein or not. Thera ting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or I c I law regulat' ,� construction or the
performance of constructs SEE REVERSE SIDE FOR REQUIRED INSPE IONS
Plumbing
%'.
�N/",-i
�(«
DATE OF APPLICATION SIGNATURE OF APPLI
�Aech•
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
nricir c PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
C�
TOTAL $
PERMIT KMBER
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
02 0 8"8.2.
92,1 z
*1,6.00° -