1979, 07-18 Permit: 79-652 Pool Heater PLAN NUMBER APPLICATION/PERMIT PERMIT7NUMBER
UM ER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 7"'17'-
7
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1 JOB ADDRES( f S/�/- a�, ` j ,, „LEGAL DESCRIPTION — SEE ATTACHED
LOT 1 OCK SUBDIVISION !/ PARCEL NUMBER/S
2.
3. 0644.1"N L O�e4ONE O 4 * * 1 60 'J
A D D R ZIP Required Set Backs in Feet * 1 V' 0 0 �'"
North 'South East (West * 1 6 0 0
It.NTRACTO ( �/�I��, /PHONE _ _ Size of Parcel Zone Classification B * O,C
4. i. *),Vet1C UCJ / V-J[—eF C
A�QES �+ /. Z �lv� '1UU� Type Const. Occupancy Sprinklered 6
5
JC _ ✓Sf 44. ',�-Li ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. 0 7— /1 8— 7
9
5. ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage 6 4 7 9.
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF /�� ElOTHER
WORK ❑ BLD. ❑ PLMB. H: 0 M.H. �14OOL CERTIFICATE Req'd. Rec'd. Not Req'd.
qk i of EXEMPTION
8. " iZyQ' -1 . sem /4-b2-4e „4 1f 7`--f 09/-4- •-
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER V
of 5 -
9. Utilities /04C>
� 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." Or
C,.—� Plumbing
DATE /" / 7'' / 7 SIGNATURS `710?. /t- ��� Mech.r0.g 400
SPECIAL APPROVALS SPECIAL COND TIONS:
DEPT. REQ'D. RECD. //' Che k
If 6
Env.Health 1 -.e i, [ MOO
Planning if
w
Fire Marshall 7 4//1/ / ile Home nc.,)r
- ;3010
Co. Engineer • her,v•ecify
UtilitiesA
TOTAL $/�►,_
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THI CO A RMIT. [ ?, o i r. �_* l, G ,
DATF7-17 OFFICIAL
APPROVED FOR ISSUANCE