1981, 02-17 Permit: 81A-1515 Water HeaterPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT e vk�
/ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
4 * * 1 4.00
JOB ADDRESS
jAx,
LEGAL DESCRIPTION — SEE ATTACHED
3e115—
*14,00
LOT
BLOCK
BDIVI ION
PARCEL NUMBER/S
2.
*14001
OWNER
lrJ' -SS f
PHONE
5�a -3.3i/
3. 1
1 5 1.4
ADDRESS
ZIP
I
Actual Set Backs in Feet
�
S, 3 C/''�J`' 3 i y4`G�t-vi /�'
/
4
North South East West
0 1 — 1 7 — 8 1
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
7 6479
4. ADDRESS / /
ZIP
Type Const.
Occupancy
Sprinklered
/� /
4 �r� 7 �� /n'(�: G2 �� s.v/ti� `!' �L�L�
p
/r9?�
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms No. of Dwellings
TYPE 11 NEW 13 ALT. E3AD'N. 1:1RPL. ❑ MVE.
7, OF OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORKfi Enum. Dist. Location (Area) FEES COLLECTED
8.
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership
OF Public ❑ Private ❑
9. UTILITIES Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provis
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances gs Building
type of work will be complied with whether specified herein or not. The granting of a permit doese
leg
to give authority to violate or cancel the provisions of any other state or local law regulating constre
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 13 SIGNATURE OF APPLICANT' '^`yMech.
SPECIAL APPROVALS SPECIAL CONDITIONS:Ve ��"
Plan check
NAME DATE 4 /" /vim, ��
MI 1-1X i �I
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
in echr�ic an 1
J psi.
PERMIT IS NONTRANSFERABLE
SEPA
Mobile Home
Other (Specify)
TOTAL $ "C,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0.2 1 151'5 Z
*1400a°.P,
a
C
C
'i
r