1983, 11-15 Permit: 83B-1655 Hot Water Tank PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY pia //c55
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADD SS
PARCEL NO.
1. /�.''`/ �' /2_ , t;7..,,,../4/ , // .- N
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER /? PHONE , i PHONE
MAILING ADDRESS // 7) / ZIP /, Actual Set Backs in Feet to:
/'V/ / C /; L�i� d._i ii/ _ ��1//
1 North South East IWest
CONTRACTOR? , LICENSEE)PIR ,S/ Pt-C,NE _4,06.- Size of Parcel Zone Classification Residential❑
�) ff /E:', _ ( `y �,- ' �. �/ _Y _ 1,4 ,-p7 t7z-, Commercial❑
4. ADDRESS i 1 ) ZIP , Type Const. Occupancy Sprinklered
A . tlr?.J(` ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE 0 NEW 0 ALT. ❑ AD'N. -lRPL. 0 MVE.
7 ❑ OTHER
WORK
0 BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes❑ No❑ Number
or Variance Received Yes Non
DESCRIBE WORK ,7 J Shorelines/Flood Hazard Plans Required❑
8. CJUL� � 1')/ f L� lv i()�i c{ Yes❑ NotAPPlic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership ,
FEES COLLECTED
9 OF PUBLIC❑ SEPTIC❑ Public❑Private CI PRIVATE CI SEWER CI
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 type of Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction.SEE REV RSE SIDE FOR REQUIRED INSPECTIONS Plumbing
SIGNATURE OF C O� �� ) v /, APPLICATION i ,?�,
OWNER OR AGENT t-/(:h 1�� .k�• /'f 1/ DATE L� � � Mech. /�(--
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health / _
/_� / Z L . ,- /6 66, SEPA
Planning
Modular/
Fire / r / MFG.Home
a.
Prevent. id:_.)- r Z j� �L�G( C.c. („4.->f._K eO
C)
Engineer Other(Specify) Lu
J_
Utilities LyJ. LL
TOTAL $ �E
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS .1 G
Tech. DAT4ISSUED 5 u 1 PERMI}1405. 5 '2; * 1 6. L p 7QTAL