1980, 10-21 Permit: 80B-2350 Hot Water Tank PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT erd —02sd
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 0 3 * * 5 0 0
JOB PIDpI SS
1 �,w�� ((//��// (/ /� LEGAL DESCRIPTION — SEE ATTACHED * 5.0 0 n
LOT BLOCK SUB -1 fa `��� �Clli PARCEL NUMBER/S * 5 O 0
IS
2.
OWN:=R / / PHONE A * 0 0 0 8
3. Akkke _ HO ICA) 9.7. 9-5-5 234,9
ADDR SS .
LL^^ ZIP Actual Set Backs in Feet
,� 0 i c,C+-�� /Ci. North (SouthEast (West 1 0-2 1 -8 0
CONT ACTOR PHONEel/t)-.7‘). Size of Parcel Zone Classification
4K-/P-764. A IGL#SS n ZIP Type Const. Occupancy Sprinklered 0479,
C O ..3 CC/ �D-V rj Oyes ❑No ❑ Req'd.
D NER 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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. k-PLMB. 0 MECH. ElM.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
8 DESCRIBE WORE �� -0 �co 7 Enum.Dist. I Location (Area) r
FEES COLLECTED
VALUATION SOURCE GASl
ELECTRICOF
'/ WATER SEWER Ownership USE CODE
9. UTILITIES }L 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 local law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION /0—.21--8".D SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
r
Planning CC)
Mobile Home w
Fire Marshall ,r
Co. Engineer Other (Specify)
Utilities ?��l
TOTAL $ ��
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ildin Tec ician PERMIT IS NONTRANSFERABLE r.,,.
, 10 '21 ..,$ 0' 2`;,5. 0 '5. 002 -
�[ � �2iL�w"� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL