1982, 02-08 Permit: 82A-864 Hot Water Tank PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT s - g 4,-4-
t;
h/ r NORTH 811 JEFFERSON / &F'OKAN ,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
!�� ri b
1. /
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 0 4 * * 1 6 0 0
2.
Ol (� , PHONE * 16.00 n
3.
* 1 600
ADDRESS ZIP Actual Set Backs in Feet * 0 0 0
......---1÷-V1^-4--. North 'South East 'West
CONTR CTOR c-,...._-----,, PHONE Size of Parcel Zone Classification
86, 3 -"
_J ~4' 0 2-C 8
-vADDRSS ZIP Type Const. Occupancy SprinkleredE10� . et/fn(
❑Yes DNo E Req'd. 6 1. 7 9.
DESIGNER �� PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP 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
EW ❑ ALT. ❑ AD'N. D RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESC E ORKEnum. Dist. Location (Area) ' FEES COLLECTED
8.
I
VALUATION SOURCE GAS ECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private D 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/IREVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
..r.,,".
DATE OF APPLICATION 2- ^ 1t` ^ SI fl"' " �"
SIGNATURE OF APPLICANT ✓�� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
.—. I ‘-j-R ,-
Planning `R SEPA a
O
-
r'� ,.� Mobile Home w
Fire Marshall
J
Co. Engineer \,, Other(Specify)
.A
Utilities �t\.•
TOTAL $
, Lii. ...,
Plans Examiner �
.r
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
echn" PERMIT IS NONTRANSFERABLE { -"�* d Q J -
02 -08 82 86.42 *16.00aI-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL