1979, 09-13 Permit: 79-3926 Pool 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 4 COPIES
JOB ADDRESS
�' /,� 1.2„ LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
OWNER �) PHONE
3 ADDRESS ZIP
CONTRACTOR �-PLfHOO-NNE
4' ADDRESS ZIP e
t
(� a
DESIGNER PHONE
5. ADDRESS ZIP
CHANGE OF USE FROM TO
6.
TYPEj� NEW El ALT. 13AD'N. 1-1 RPL. ElMVE. ❑ OTHER
7, OF K
WORK El BLD. ElPLMB. L10 MECH: 1:1M.H. IWPOOL
DESCRIBE WOR'.0
8
equireu Set Backs In Feet
orth South
East West
ize of Parcel
Zone Classification
Type Constj
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
aluation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
Req'd.
I Recd.
Not Re<
of EXEMPTION
FEES COLLECTED
VALUATIONSource AS ELECTRIC WATER SEWER
of
Q, Utilities L --- I 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
to give authority to violate or cancel the provisions of any other state or ocaI law re lating construction or the
Plumbing
performance of construction.
X�n4j
SIGNATURE Ue '13—
SPECIAL
1 -'��
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. RECQ'D. RECD. Plan Check
Env. Health W� n� o
V SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
Zone Clearance
SEPA Checklist
PERMIT NUMBER-�I
DATEI J C< `!
04* * 1 3.00
*13.00 s
*13.00
A *0.00
39252
09-13-79
6,479.
d0._.
TOTA L $ 1.3
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 ,
7
* L -I