1981, 08-27 Permit: 81A-8614 Water Heater PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT si:.iAl4t- 65(e21
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB AESS > 04 * * 1 6.00
1. V y1 2Ln'�t.-) I LEGAL DESCRIPTION - SEE ATTACHED * 1 G. 0 0
LOT OCK SUBDIVISION ..,PARCEL NUMBER/S
2. * 16006
S ER PHONE
7 A * 0. 00 8
. _. '' ' 71..-a/bed (\-,4.---/2 ..2:641-A_ J
e•RESS �—y, ZIP Actual Set Backs in Feet
- r a'7 'Y('- r?72 ,,' ��c -C I 8 6 1.3
North South East West
CONTR TOR PH9NE J� Size of Parcel Zone Classification 0 8-2 7-8 1
4. -e-e .�£-� -\_ _�4 �- 'i` -//7t% 6 4 7 9.
AD►-�I` O s 7 Type Const. Occupancy Sprinklered
/ 3 t 7 i ) ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor 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 ❑ NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OFl ❑ OTHER
WORK
0 BLD. ❑ PLMB. MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WOR ,( � Enum. Dist. ILocation (Area) '
8 [�� til 0 e"-_ cOZ dt,o.-
g- _ I FEES COLLECTED
VALUATION SOURCE CCAS ELECTRIC WATERATSEWER Ownership USE CODE
OF
9. UTILITIES c.\�� Public ❑Private ❑ / 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 I. al law regulatin• construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPE T ONS Plumbing
DATE OF APPLICATION ` /b, SIGNATURE OF APPLI`�f �1!/ /_1�' xJ Mech. l (,
SPECIAL APPROVALS SPECIAL CONDITIONS: j�T-t.�-�
NAME DATE ,�^\l (Irc) tom'(i\ Plan Check
Env. Health 'JC t
SEPA
Planning O
U
Mobile Home W
Fire Marshall —J
ii
Co. Engineer Other(Specify)
Utilities // 6
TOTAL $ (�
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
• . ,
'
ildingTechniicianPERMIT IS NONTRANSFERABLE 0.8 -2 7-81 8 6 L4 z *1 6.0'0 a -
B civPERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL