1980, 08-08 Permit: 80-8294 Water HeaterPLAN NUMBER APPLICATION/ PERMIT
p}� SPOKANE COUNTY - BUILDING CODES DEPARTMENT
/ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
—o— APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. /1U y S. LEGAL DESCRIPTION -SEE ATTACHED
LOT I BLOCK JSUBDIVIbIUN PARCEL NUMBER/S
2.
OWNER
3. XG>v ccPlt,a of
ADDRESS
/ /v y s ,
CONTRACTOR x
AI e-1 69,4
PERMIT NUMBER
8o-Bzq v
04* *9.00
*9.00
*9,00
PHONE ���� , O, 0 o
ZIP / Actual Set Backs in Feet 8 2 9. 1
s �Ga— Gy,er, C1,7 North South East West
PHONE Size of Parcel Zone Classification 0 8 - 0 8 - 8 0
Z� 6,479.
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
//
S �e�•
G- / 6
1
1
❑Yes ❑No ❑ Req'd.
J/U ,. 1� ctvr r
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
Garage Area Storage
5. ADDRESS
ZIP
Main Floor Upper
Floors
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. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
1-1 BLD. ❑ PLMB. 1-1 MECH. 1:1M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
D SCRIB/- WORK �[
f
Enum. Dist.
Location (Area)
FEES COLLECTED
8• P /, f, Y`? X #,. � / fie, t��Q �"
VA UATION
SOURCE
GA
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public Cl Private ❑
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 local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
—/c
Mech.
DATE OF APPLICATION D �� SIGNATURE OF APPLICANT j--
4
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
TOTAL $ r °�0
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
BuiNing7Technician PERMIT IS NONTRANSFERABLE
0 8. ` 0 `'9 8 0 '2 9, 4 z
*9.000-1