HomeMy WebLinkAbout1980, 12-18 Permit: 80B-5018 Water Heater PLAN NUMBERPERMIT NUMBER
APPLICATION/PERMIT1.3
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 00 "-.3014/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
......_2) APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1 6 a/A
�,� . �� � ,<RE ,; LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S Q 3 * * 5, 0 0
2.
Ow P ONE * 5. 0 0
3. - _ `( BE-Ikeie 61g7 * 5,00
ADDRESS /� ZIP Actual Set Backs in Feet
of' /�' Zo_p ii�!v kot Wei; North (South East IWest A * 0,0 0 8
CONT CTOR PHONE c�7c) Size of Parcel Zone Classification
A--(4Z,,- � )(�thP -2 47,9//"71) 501,7f
4' A DRES ZI Type Const. Occupancy Sprinklered - 1 8-8 0
C/ 70 9 �G' ❑Yes No ❑ Req'd. 1
DESIGNER PHONE Valuation Building Area in Sq. Ft. ,s 6 4 7 9
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE �{/ No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. 0 AD'N. LTJ RPL. 0 MVE.
7. OF WORK ❑ BLD. , LMB. 0 MECH. 0 M.H. 0 POOL ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK - Enum.Dist. I Location (Area) r—
$ /YT/ C� G/ 7"J/� r_r�E i/� �� - I FEES COLLECTED
C—
VALUATION SOURCE GAS EL€CTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES T;T( Public ❑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 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 INSPECTIO S Plumbing
/
DATE OF APPLICATION 4;2/
/S SIGNATURE OF APPLICAN G8 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
>—
SEPA
Planning 6
C.a
— w
Fire Marshall Mobile Home --1
Co. Engineer Other (Specify)
Utilities
TOTAL $'
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
s v •ing Tec•'ian CO( PERMITIS NONTRANSFERABLE 1 2;x'18 ii$b 5 018.2 *5,0 0 a°
•---..- ff PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL