1981, 11-20 Permit: 81B-2021 Heater PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
IS
SPOKANE COUNTY - BUILDING CODES DEPARTMENT ' _ 2-.0 I
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1 JOB ADDRESS n ,LEGAL DESCRIPTION - SEE ATTACHED 0 4. * * 1 60 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 6 0 0
2 OW 61-)/11//i
,, PHONE * 16006
.
3. >C / .PA AZ. 6-),11 i /r m.a 1._- 3,5—e A * 0 0 0 8
ADD , ^ /Z��,P / Actual Set Backs in Feet
l %�c (�SC� North (South East IWest G 0 2'0 2
CO4RACTOR PH NE.rcy,p)7� Size of Parcel Zone Classification 1 1 - 2 0-8 1
.e r n-//7d
4. A R Type Const. Occupancy Sprinklered s 6 4 7 9
�/ /7j.p 7O 7 % ���fl� 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. ❑ AD'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER
WORK
0 BLD. 0 PLMB. /CH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DES IBE WORK LJ Enum.Dist. I Location (Area) T FEES COLLECTED
VA UATION SOURCE GAS F�LECTRIC WATER SEWER Ownership USE CODE
OFPublic 0 Private ❑
9. UTILITIESSingle $
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. Ti• granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or ocal law regulating construction or the
performance of construction. EE REVERSE SIDE FOR REQUIRED I 'ECTIONS Plumbing
DATE OF APPLICATION___WW SIGNATURE O' = /rites— �L_ Mech.
&C.'1
SPECIAL APPROVALS SPECIAL CONDITIONS: '
NAME DATE �J Plan Check
Env. Health 3C* Ob V . K /. s
1LJ (o[ SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMESyA PERMIT.
Buildin• Te PERMIT IS NONTRANSFERABLE i 1.: hh a -8°1 2 0 21 z *1 6.0 0 212
-,� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUZED PERMIT NO. TOTAL