1979, 07-17 Permit: 79-543 Water HeaterPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TG MAKE 4 COPIES
JOB ADDRESS
1. LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNE PHONE
3. eZ1a - Jrin
AD ESS
ZIP
Required Set Backs in Feet
North South
East West
CONT ACTOR
PH
NE
Size of Parcel
Zone Classification
4, ADDRE56
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE NEW ALT. 1:1AD'N. El RPL.
ElMVE,
No. Baths
No. Floors
No. Rooms
Rec. Room
7, OF
❑ OTHER
CERTIFICATE
Req'd. I
Rec'd.
Not Re
❑ BLD. ❑ PLMB. CH: ❑ M. H. ❑ POOL
WORK
of EXEMPTION
DESCRIBE WORK
8 A'
FEES COLLECTED
PERMIT NUMBER
7 AL3 J
DATE
04* *9,00
*9,00
*9.00
B *0,00
54.22
07-17-79
2 6479,
VALUA I JUN // Source GAS ELECT�,IC WATER SEWER
V of �/ V
9. Utilities %- I Single $
1 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
Plumbing
performance of construction.
DATE SIGNATURE_
Mech,�,Q
SPECIAL APPROVALS SPECIAL CONDITIONS: //�_ `
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities �%
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist // -7 f/no` THIS BOLT fDA P�RMIT. /,
naTF7'!7! 1 nFcir•ini 71 -,407V4- � 1 CC�11 '+ Z