1979, 08-22 Permit: 79-2609 Water Heater Ammiminimm
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PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT /6 -7} —2G a 9
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES x
JOB-ADDRESS , LEGAL 0 3 * * 5 5 0
1. /,I. O0 DESCRIPTION — SEE ATTACHED
C t_acP. .��_k * 5 5 0 to-
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2Aief-7-
* 5.506
OWN PHON- "/,,. n * V,
� ,' !1 Q 0 03. 26Q82
AD ES ZIP Required Set Backs in Feet
i I-7---)L— North !South East ,West
CONT TOR 1;14,---//370'
H Size of Parcel Zone Classification 0 8-2 2^7
9
4. /i� 6479,
ADDRESS // ZI j+�, Type Const. Occupancy Sprinklered i
//�
�* 3 7e 7 1zvo ❑Yes No ❑ Req'd. '
DESIGNER PHONE Valuation 1Building 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 No. Baths No. Floors No. Rooms Rec. Room
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. 1.PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. ,,Ifk.-- ,-c-/- 0`-t--- ,, >e-e- (-' z' FEES COLLECTED
VALUATION S urce GAS ELECTRIC WATER SEWER
of
9. Utilities
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 4`6r
performance of construction. Plumbing
DATE SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
Planning SEPA o
U
W
Fire Marshall Mobile Home cc)
Z
—
Co. Engineer Other (Specify)
Utilities $ 1.---',..5
.-
TOTAL �j�
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist r` j , r- THIS 13 COMES A PE7RMIT.
0
• .1
FO`/
R ISSUANCE _1 C U U 0, 7 z * /.
J 0 d IDATE �APP