1980, 06-17 Permit: 80-5876 Hot Water Tank PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT - f �M si-1(3,
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
� `Z`sc_ LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIV1SION PARCEL NUMBER/S 0 4 * * 9.0 0
2 OWNER w ONE * 9.0
9,0 0 N
r�/4 7:7)/f..///4-/,
(7%lf�J/4-r,, /),, �.�,d I/< 21__ - * 9. 0 0 t
3 ADDRESS Z Actual Set Backs in Feet O
-. ' t I I E * 000
//JJ ck�cam° �= C, / / t>,'‘..-'0 ' North South East West
CONTRA OR PH NE Size of Parcel Zone Classification o
4. ¢ -,,-
ADDREIXS ` _ a' Zyq� Type Const. Occupancy Sprinklered 0 6— 1 7—8 0
(7) t, J i.6.), f =, / y ❑Yes ❑No ❑ Req'd. 6 4 7 9.
DESIGN 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. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. IJ PLMB. ICH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK /. Enum. Dist. Location (Area)
$ C 41-/-- —/y, F, 7/7/ z, FEES COLLECTED
VALUATION SOURCE ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public ❑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 INSPECTIONS Plumbing
r),
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech. /
SPECIAL APPROVALS SPECIAL CONDITIONS:'
! Plan Check
Env. Health NAME DATE %¢ //� ,-'' / ;t_`2�✓
/47 �/ ! SEPA cam..
Planning U
Fire Marshall Mobile Home ___I
Cr.
Co. Engineer Other (Specify) /
Utilities / / ��`�
TOTAL $ �P
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
06 —' , '' 587.6d * 9, 00 °-
B 'ng Te n ian PERMIT IS NONTRANSFERABLE 1
Vl7u1/4.-C`•1rik.) PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL