1984, 01-24 Permit: 84A-660 Hot Water Tank PLAN NUMBER APPLICATION/PERM IT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY 0.4A - 6,60
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS NO.z
1. / / A/ 4 >.x/4
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER PHONE^ �kiONE
� � 1 ���
3. MAILING A DRES �r'J(/1�y/ Z19...,--7_7/ Actual Set Backs in Feet to:
��, ��lf/ � �C /�-Gam— Gi(/� _North (South Fast I West
CONTRA ••i LIC NSEEJCPI S P E " Size of Parcel Zone Classification Residential
4. — / / , — ( /G`G2-"�•C� - /` ; r `O-//7�/ Z-2y Commercial❑ a �` U
ADDRESS/ '0 6 . 3w 7 /ZI�g>� 2_C/? Type Const. Occupancy Sprinklered
❑Yes ❑No ❑Req,d 1r C C o
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area F'; * i - ",
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
., I ''
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB;�MECH. ❑ M.H. ❑ POOL Cert rii.oExempt. Required Yes No❑ Number
or Received Yes El No
DESCRIBE WORK -h �� fa.„.k.-i_i4 %11" Seorelines/Flood Hazard Plans Required❑
8. ) Yes❑ NotApplic.❑ Received ❑
VALUATION SOURCES2 GAS ELECTRICWATER SEWAGE Ownership FEES COLLECTED
9 OFPUBLIC❑ SEPTIC❑ public❑Private❑
UTILITIES RIVATE❑ SEWER❑
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 type of
Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other - • local law regulating construction or the performance
of construction.SEE REVE- E SIDE o'- REQUIRE 4 TIONS Plumbing
SIGNATURE OF APPLICATION %_ •���
OWNER OR AGENT // DATE G- Mech. ___ 6)
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning /
/fes Modular/
//ff 67/6/L---
MFG.Home )-
Preevent. -5; � O
c.,
Engineer Other(Specify) W
9 J
Utilities jj//,, 7�/6)
TOTAL $ L<
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building ` IN 180 DAYS (('� 1 /ni _ //; p,
Tech. / VSSUED2 `t 8 4 PERMIT N6.6. 0 z * 1 Q, 0 �0 �"�AL
DATE