1979, 09-20 Permit: 79-4394 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 TO MAKE 4 COPIES
PERMIT NU BER
P .�' - 3,�
DATE 'atm. ZZ -7f
03* *S50
*555 u
*550Y
E *0.00
439.32
09-20-79
6479.
TYPE ❑ NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE
Req'd. Recd. Not Req'd.
WORK
of EXEMPTION
JOB ADDRESS ,-
,�_��� ,
DESCRIBE WORK ---
LEGAL DESCRIPTION - SEE ATTACHED
8 {J
LOT
BLOCK
SUBDI VISION
of �7/
9. Utilities
PARCEL NUMBER/S
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
2.
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
I
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.
OWNF,R_ � // 1 .
DATE SIGNATURE—
N�,E(/ /
SPECIAL APPROVALS SPECIAL CONDITIONS:
3.
Z
Env. Health
L
SEPA
Planning
ADDR 5 ?
/
Fire Marshall
ZIP' 1?/,/,G
Required Set Backs in Feet
Other (Specify)
f
�1- �_,r�7�
Utilities
.
North South
East West
Zone Clearance
CONTRA OR
SEPA Checklist
PH NE
Size of Parcel
Zone Classification
L-- ycZ �•�.i'
J(f 06
4'
A
Z�FP ��
Type Const.
Occupancy
Sprinklered
d��i'
❑Yes []No ❑ Req'd.
DESIGNER fPHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
OWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
PERMIT NU BER
P .�' - 3,�
DATE 'atm. ZZ -7f
03* *S50
*555 u
*550Y
E *0.00
439.32
09-20-79
6479.
TYPE ❑ NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE
Req'd. Recd. Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK ---
FEES COLLECTED
8 {J
VALUATION Source GAS ELECTRIC WATER SEWER
of �7/
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
performance of construction.
Plumbing
DATE SIGNATURE—
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Zone Clearance
SEPA Checklist
WHEN MACHINE VALIDATED IN THIS SPACE,
THI CO �SA RMIT.