1980, 11-06 Permit: 80B-3333 Water Heater PLAN NUMBER APPLICATION/PERMIT PERMIY NUMBER
P KANE COUNTY — BUILDING CODES DEPARTMENT ,ee rfo.6 -,3..33
NORTHei O 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB A DRESS / t y� LEGAL DESCRIPTION — SEE ATTACHED 0 4 * * 9 0 0
1. 4%160 / ' -.c..- ►�C-� * 9. 0 0 n
LOT BLOCK SUBDIVISI1,0 PARCEL NUMBER/S
* 9, 0 0
2.
OWN Of PHONE A * 0,, 0 0 U
3. / (4,L�-' 9rz-los-z.
AD4j�'ESS Z19.2`6 Actual Set Backs in Feet 3 3 3 2 c
G� �(���(((LLLL����� /IiGC. !7� North [South East (West
GgNTRACTO ,-- �}!`" P ONE Size of Parcel Zone Classification
4' A ESS [L Zlp ., .9 Type Const. Occupancy Sprinklered
/ 7/v ,� g "I r /4o Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
_ TYPE 0 L7�,/ No.Baths No. Stories No. Rooms No. of Dwellings
NEW ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 9, 0 OTHER
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
D IBE WORK ��""� � Enum. Dist. Location (Area)
8. � .'�-sal t. ` , I FEES COLLECTED
VALUAeN SOURCE GASELECTRIC WATER SEWER Ownership USE CODE
��.
9. UTILITIES ,.19. Public ❑Private 0
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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
L!
DATE OF APPLICATION - � cc SIGNATURE OF APPLICANT-74 Itl r-oh°4Mech. 9e0
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
Planning ' '‘tr. SEPAe. CJ
- 1,1
Mobile Home -1
Fire Marshall L;_
Co. Engineer Other (Specify) n
Utilities Q 2,.r'A
TOTAL $ /�4�
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui ing ech(►ician 7 �� PERMIT IS NONTRANSFERABLE ,�''1 -ii. �J'.�0. 35114 *9O0a0. -
*►l/uEC YY -� , of-L4••-`w"`•- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL