1980, 06-18 Permit: 80-5957 Hot Water Tank PLAN NUMBER APPLICATION/PERMIT 1 PERMIT NUMBER
SPOKANE COUNTY — Fi(Il!WING CODES DEPARTMENT �`.i(")
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 0 3 * * 5 5 0
JOB ADDRESSJ . , LEGAL DESCRIPTION - SEE ATTACHED * 5.5 0
1. LOT BLOCK SCUBDIVISION PARCEL NUMBER/S *5.5 0 6
2.
OW P NE B * 0.00 8
`A RESS / Z";-7
I/Pg1 Actual Set Backs in Feet
re
C�4r"X*' ({~ U' c, / � K� • North (South East (West 06- 1 8-80
Cc NTRAC \•R PH NE Size of Parcel Zone Classification
_ %� --Ct..,� � -4. 1-/t71) 2 6479.
4• _ Type Const. Occupancy Sprinklered
ADS _) ..�� ��� 7Z��� 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.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE r] NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑rBLD. PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION
DESCR;2!E WOR Enum. Dist. Location (Area)
I FEES COLLECTED
VALUATION SOURCE ri S ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES X/ Public 0 Private ❑ 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 j.
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the �� _. I:
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning O
_ V
Mobile Home w
Fire Marshall
L%
Co. Engineer Other (Specify)
Utilities " - ',Li
DTOTAL $ :- r
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ng Tec ician PERMIT IS NONTRANSFERABLE 0�E-�i1��1�1+-!8 0' 5 19'5 7 0 k.5. 5 0 OO H
1A.AA' y10 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
. 1