1980, 07-25 Permit: 80-7653 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 3 COPIES
JOB ADDRESS
1 fS/z3 R4,0 A/�� LEGAL DESCRIPTION —SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
2.
OWN PHONE
3. /n ORNE 9ZG -Po 6
ADDRESS
.5,/,/ �C,�/%NNCR�/J
ZIP
�6
Actual Set Backs in Feet
North South
East West
CONTRACTOR
�/ ,;; Mi cltt
Main Floor
PHONE
4 - 2,� 4
Size of Parcel
Zone Classification
4.
ADDRESS
TO
ZIP
Type Const.
Occupancy
Sprinklered
X21 it16JV_
9 9 ZG'Z
I
❑Yes ❑No ❑ Req'd.
DESIGNER
No. Rooms
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors I
Garage Area
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin.
6.
No. Baths
No. Stories
No. Rooms
No.
TYPE �/
L�7 NEW El ALT. ❑ RPL. ❑ MVE.
%. ❑OTHER
CERTIFICATE
Req'd.
Rec'd.
,❑,,,,//AD'N.
1:1 BLD. ElPLMB. IJ/MECH. 1:1M.H. El POOL
WORK
of EXEMPTION
I
D CRIBE WORK
Enum Dist Location (Area)
FEES COLLECTED
s. eoc "4Fo971FA1e 2s'o, C0d
VALUATION I SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public ❑ 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 con stru or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
rrecr ��s/B '
SPECIAL CONDITIONS:
r �— -1/y a -P,pt
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
$
4fo.00
Mobile Home
Other (Specify)
TOTAL $ -0-0
d.
PERMIT NUMBER
04* *16,00
*1%;C0
*16.00
7652
07-25-80
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
`i