1981, 01-27 Permit: 81A-0921 Hot Water Heater PLAN NUMBER APPLICATION/PERMITf PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT " " 72 �� i
it) SPOKANE
811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. //( 7 / At
L/,(•�)0o ^ 4 a' LEGAL DESCRIPTION - SEE ATTACHED U 4 * * 1 h.0 0
LOT BLOCK SUBDIV_(SION PARCEL NUMBER/S z. 1 i_ C- 0 s
2 OWNER --lie Z/ PHONE * 1 ' y
3. . (.�. V, � 6k 9 .?'®,2. 6 , .,
ADDRESS ZIP Actual/ Actual Set Backs in Feet 0
ifq '.� �'/(:9e,. North ISouth East (West c. 0
CONT"ACTOR PHONE Size of Parcel Zone Classification
. 4_ ' x../...0._ - jei_e _IL. 1,9-hi;'"'
4. AD.� ZZIP ) f Type Const. Occupancy Sprinklered - 6, O
\ _ 46 �®/J /C�vC-c_�' Oyes ❑No 0 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 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. CCRMECH. 0 M.H. N 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WO t Enum.Dist. Location (Area) '
8. G✓ /1)6 6,-- e 9 4c74- tL, 9446)--7-- • I FEES COLLECTED
VALUATION SOURCE GAS
ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0
� 1 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 INSPECTORS Plumbing
00
DATE OF APPLICATION /� SIGNATURE OF APPLI • w 1' e,/ 4/1* Mech. 4
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE /�c�} �- Plan Check
Env. Health
gi../ SEPA
TT
Planning o,-..)
— w
Fire Marshall Mobile Home ---1
.-
IA-
Co.
Co. Engineer Other(Specify)
Utilities // i0
TOTAL $,�fL�.
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui • Tecnf.n J PERMIT IS NONTRANSFERABLE 01.7' '2.7-,'8 9 2,11 *1'6.0 0 d F
t` - /` 4` r' -' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
.1