1983, 05-25 Permit: 83A-4523 Hot Water Heater PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT d,A
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB f DDRESS
1 /i\ �//,_ /�'j' �� y 7(1,Z._,
LEGAL DESCRIPTION — SEE ATTACHED
L(9T BLOCK SUBDIVISION PARCEL NUMBER/S
2.
, . .i - /,/
3. OWNE C2j/ E{pNE ' ///
AD Ft�SS ZIP Actual Set Backs in Feet
1 ,
CO \ 7/ /��/ r = --� ,1� North ISouth East IWest
NT ACTOR PHS Size of Parcel Zone Classification
4' ADDR l ZIP Type Const. Occupancy Sprinklered
` S ' ` 7, ,77---;47,.::, ❑Yes DNo ❑ Req'd. 0 (( * * 1 6 0 0
DESIGNER PHONE Valuation Building Area in Sq. Ft.
* 1600
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
A * 000 C5
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement Li. 5 2 2 yo
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings U 5— 2 5—3 3
❑ NEW D ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER - ' 6 L( 7 9.
WORK 0 BLD. 1PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) ' FEES COLLECTED
8. (1,/,,f_jeek,e,__- /1/...-/— ./-71/.(7/
VALUATION SOURCE G ELECTRIC WATER SEWER
�( Ownership USE CODE
OF
9. UTI LLITIES �` 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 presume
to give authority to violate or cancel the provisions of any other state or local law regulating con(( ction or the /� '°�i
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO 7 I Plumbing '
,
DATE OF APPLICATION<-��' ` / - , SIGNATURE OF APPLICAN II (7 ) 4-4-4 Mech.
4_
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
•
SEPA a..
Planning CD
C7
—
Fire Marshall Mobile Home ._i
u.
Co. Engineer Other(Specify)
Utilities �;,t
TOTAL $ _
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
0
-.•.ing eche cia. PERMIT IS NONTRANSFERABLE 0 '>'=,'2 5` r 8 3 4 5 2.3 5 * 1 6. 0 0 a 1-2._
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL