1980, 08-29 Permit: 80-9347 Water Heater I-
PLAN NUMBER APPLICATION/PERMIT ./b, PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT8Q -93y7 J
P.i
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
/ APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB AD RESS 0 4 * * 9.0 0
1. /moi(-' -Ay--).--(_,,,e,(} LEGAL DESCRIPTION - SEE ATTACHED * 0 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2 * 9,OOU •
OWNER 1 / _ PHONE �� E x 0, 0 0 E
ADDR S ZIP � Actual Set Backs in Feet 9 3 2. 8
A.,..2„/(>—) /�1 ri- -e? /j e North 'South East 'West 0 8-2 9-8 0
CONT. ACTOR ' / PH9NE�� Size of Parcel Zone Classification
AbDR.E/$S ,7 ZIP �j Type Const. Occupancy Sprinklered
1 4. I. /�� _-� ./() 7 7. l CJ ❑Yes ❑No ❑ 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.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
0 NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK ❑ BLD. lt.PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK)f Enum. Dist. I Location (Area)
8 /41d--
/ - !e 1 et..,.,:.//
, `/ - ze 9 '" FEES COLLECTED
VALUATION SOURCE AS ELECTRIC WATER SEWER
`, Ownership USE CODE
OF1
9. UTILITIES Public D 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 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
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health / s
/ _) G� ( fi�( SEPA a
Planning / C /
1 _ C
Fire Marshall Mobile Home u
. u
Co. Engineer Other(Specify)
Utilities TOTAL $ `^�
✓t
Plans Examiner A / -e./6- -
� '� �'+
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B Idi Technician PERMIT IS NONTRANSFERABLE 8 !-.2f.9$—.8 Q 9,3 4 7 z * 9.0 0 d F
� f3 /z9/)
1,) PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL