1981, 03-04 Permit: 81A-2029 Hot Water Tank PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT if/k
C.Ji NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS vim * * 9'00
(� 1 L/t`l'®4oik , r �/'/ LEGAL DESCRIPTION - SEE ATTACHED * 9 0 0 N
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 91 0 O
2. A
OWNE'�// PHONE
AD•- SSG 6l/ / �s ZIP, .f Actual Set Backs in Feet 2 0 2 8
l/ "zo � Coe()ci G' Pd )1==. 01 North 'South East (West 0 3_ 0 4-�i 1
CONT- •CTOR PH y�, -4�) Size of Parcel Zone Classification
a. %i ' . -- (0„,,-1)1 �tL � ► --//7e) 6.4 7 9
ADD SSZIP Type Const. Occupancy Sprinklered
4,� �3 7 2"7 '%?�'a Dyes ❑No ❑ 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. 0 RPL. ❑ MVE.
7. OF 0 OTHER
WORK 0 BLD. PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WOR lfo _ Enum.Dist. Location (Area)
8 l/ i /V 497' r //ed-71..e. 1 'T I FEES COLLECTED
I
VALUATION SOURCE GAS ELECTRIC WATER SEWERUSE CODE
OF Ownership
9. UTILITIES 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 theco
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPEC IONS { '_ Plumbing / '�
DATE OF APPLICATION �1-43y Ci SIGNATURE OF APP LI �i`I�% , '� / �E-� "��1 .Diech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n
Planning ;cj
- ..,1
Fire Marshall Mobile Home -I
-
Co. Engineer Other(Specify)
Utilities / 1
TOTAL $ 'r/J
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
v, Y
ilding r>ician PERMIT IS NONTRANSFERABLE 0 3"0'4-1 1 2 0 a 91 *9 0 0.a.-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL e