1980, 07-17 Permit: 80-7242 Water Heater PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT pg�— tz�`
(1).2 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS , I LEGAL DESCRIPTION — SEE ATTACHED 0 * * 5 5 0
1. !L1'. /gi,l, (,)/ 74/4- . * 5 5 0
LOT BLOCK UBDIVISION PARCEL NUMBER/S
2. i * 5506
O ir P ONE6/1e.,-(--76.1 .
z. E * 000
3. i Cc:%J i6 / , ovc.
ADDR fi/SSZl f Actual Set Backs in Feet 7 2 Q, 1 2
/L . / /.c>,) (/, 6'/ A �c�/ > Gam/ North 'SouthEast West
CONT ACTOR ' PHONE Size of Parcel Zone Classification 0 7— 1 7—8 0
4. 1
_C -Gam' - r:C�' ;- v ' -5(r -//76) 2 6479.
s e%`� \
Type Const. Occupancy Sprinklered
�
,
-3G' )
Oyes ❑No CI 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.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. 0 AD'N. El RPL. El MVE.
7. OF 0 OTHERReq'd. Recd. Not Req'd.
WORK
0 BLD. r' PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE /
of EXEMPTION
DESCRIBE WORK �� . ✓ Enum.Dist. Location (Area) '
8. ( -ef .�.iT l e )f, : 1 I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership - USE CODE
OF 9. UTILLITIES - , Public 0 Private 0 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 presume0
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 ' ---/ 7-4 Q SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA a
Planning p
V
Mobile Home LU
Fire Marshall —I
LI
Co. Engineer Other(Specify)
, —)
Utilities TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
. '1
Building Technician PERMIT IS NONTRANSFERABLE 0 7',-617'—'8 Q 7 2.4;.2 5 *5, 5 0 a I1-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED ' PERMIT NO. TOTAL