1979, 11-16 Permit: 79-7960 Hot Water Tank PLAN NUMBER APPLICA .ON/PERMIT ,C PERMIT NUMBER I
AASPOKANE COUNTY — BUILDING CODES DEPARTMENT
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NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
04* * 9.00
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED * 9,0 0 ,-
co
LOT BLOCK SUBDIVISION // PARCEL NUMBER/S * 9.0 0 U
2. V Qco
OWNER PHONE E * 0 0 V
3. c� t1-�C'-/� 9a /03 7 9 5 9
ADD-44:01°
' ZIGj�!/1 c�/�j Required Set Backs in Feet
�r� • /1 ��6i �� /OS(l�p North (South East (West 1 1 - 1 6-7 9
CONTR• 'TOR / PHONE Size of Parcel Zone Classification
- 4T7---//76 6479.
4• -,,,;�stg
�� 7�yTp Type Const. Occupancy Sprinklered
j ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
_�. .�
5' ADDRESS ZIP DWL Area I Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF J ❑ OTHER
WORK ClBLD. CIPLMB. �((J MECH: CIM.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. -,/-/-0-7-- "'_a ft c—et-6--t— FEES COLLECTED
VALUATION Source GAS ELECT IC WATER SEWER
of l /
9. Utilities
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. Plumbing
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA O
Iv
Planning _ W
a.
Mobile Home
Fire Marshall Z
Co. Engineer Other (Specify) q y�Utilities 0% '
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATE OFFICIAL - ''-'q. 6 -77 9 6.0 z ,* 9. 0 O,a l-
APPROVED FOR ISSUANCE