1981, 06-01 Permit: 81A-5323 Pool HeaterPLAN NUMBERAPPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
`1 4 * * 1 0 C
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
*18COY
LOT
I BLOCK
ISUBDIVISIONPARCEL
NUMBER/5
2.
* {,�_ j o
OWNER
OW
PHONE
3.
M"- C
L
ADR
ADRESS 1 -2-0--!>�.
n ��
V '
Actual Set Backs in Feet
North South East West
CONT CT,q�.
PHONE
Size of Parcel
Zone Classification
�IIIV�
6.474.
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
—
ADDRESS
ZIP
Main Floor
Upper Floors
I Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF_/ E) OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
1:1 BLD. ElPLMB. B MECH. ❑ M.H. El
WORK
of EXEMPTION
I
DESCRIBE WORK „O Enum. Dist. Location (Area)
FEES COLLECTED
(�/(
8 ���
VALUATION SOURCE GAS ELECT IC WATER SEWER USE CODE
Ownership
,
I
9. UTILITIEOF S Public 13 Private ❑ 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 thisBuilding
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, SEEREVERSESIDE FOR REQUIRED INSPECTIONS Plumbing
`
�r
OF t�C�` Mech.
DATE OF APPLICATION SIGNATURE APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health 111 t� �D�`'/
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
Plans Examiner
SEPA Checklist
PERMIT IS NONTRANSFERABLE
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'8`i 5,3;23 z
a. � —