1980, 02-01 Permit: 80-808 Hot Water Tank PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
—cts,.ocb
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
1 JOB ADDRESS / '`/ �/ - LEGAL DESCRIPTION - SEE ATTACHED U 3 * * 5 5 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 550 ,:,
OWN ��1�/��,� ���, P�-I O N E E !1 0 C. F.
3. r ULC .. W5r -7i 4/7 �,� U
ADDRE ZIP Required Set Backs in Feet r'• 0 7
/,X/5 // / ��6 North 'South East (West 0 2-0 1 -8 0
CONT ACT R PHONE Size of Parcel Zone Classification
viL�'� - C(.4 e�t,al '70'//7e) 6 4 7 9,
4' ADDRE /� ZIP Type Const. Occupancy Sprinklered
) /`S \76 7 7`�t.) Dyes ❑No IDReq'd.
DESIGNER ��//11CG/i PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
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. ❑ MVE.
7, OF jk� 1=1 OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. -I'Sf PLMB. ❑ MECH: ❑ M.H. ❑ POOL
pL/�� of EXEMPTION
DESCRIBE WORK ? - _, / /„,
8. FEES COLLECTED
VALUATION Source GAS
ELECTRIC WATER SEWER
of
9. Utilities
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 . 51(7
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. Plumbing
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
o_
SEPA U
o
Planning — w
2
Mobile Home r')
Fire Marshall z
Co. Engineer Other(Specify)
Utilities
TOTAL $,
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATE\-\tel OFFICIAL O C�� 0 ` ~ 0 1 —8 0 a `J . .* 5. 5 b 1 'r
APPROVED FOR ISSUANCE _