HomeMy WebLinkAbout1981, 11-04 Permit: 81B-1478 Hot Water Tank PLAN NUMBC
4 APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT Si 14"18
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
bi APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS U 4 * * 1 6 0 0
1. 3�,3 W��Z� � LEGAL DESCRIPTION - SEE ATTACHED U
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 160' 0
OWNER Qt...4.....4
/6112.A.)
61 PHONE H * a, 0 i
3.
ADDRFS '„s / C.' Actual Set Backs in Feet 4 7, _„
`J .,0 0 ( ✓03-- - i7 ®Ao North 'South East 'West1 1 ` 0
4 8
CO RACTO rPHONE Size of Parcel Zone Classification
4. M 17 , ► Sfge t� ;(4�R- `i` -ai 6479.
AD LLo ` I Q[S�! t + tL et -I Ia Type Const. Occupancy Sprinklered
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.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK
0 BLD. 0 PLMB. ❑ MECH. 0 M.H. 10 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK 1 Enum. Dist. Location (Area) r
8. ,�. +L-- KV !rL ' / FEES COLLECTED
VALUATION SOURCEELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES 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 construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIOtO Plumbing
DATE OF APPLICATION ( [i°-g0/ LibtO
SIGNATURE OF APPLICANT C Mech. 1
SPECIAL APPROVALS SPECIAL CONDITIONS: 1
NAME DATE
?ult.... (/��`'C��-�I�/�- //� — �1 �' //1 /� Plan Check
Env. Health `�-� (, lblSEPA r
Planning �`'�`�"
�j t
Fire Marshall264)4 ,- Mobile Home _a
i-L
Co. Engineer Other (Specify)
•
Utilities
TOTAL $ iL ob
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
0
Buildin•' 1�1 -p 4" 81
Technician PERMIT IS NONTRANSFERABLE 1 4 7,8 z * 1 6' a -
n . PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL