1983, 08-09 Permit: 83A-7503 Hot Water Tank PLAN NUMBER APPLICATION/PERMIT PERMIT UMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY e - 75,3
C—d
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. l. // iic 1/ //
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWN PHONE PHONE
�
3• , G`` `-rte_'c_.-, ei`e' 43/1
1
Actual Set Backs in Feet to:
MAILING ADDRESS � l ZIP )�
E' j s J) / I l-� cid'-W)))--, _North (South East I West
CON RACTOR An LICENSE EXPIRES PHONE ? Size of Parcel Zone Classification Residential❑
/l,/-'�(�!/ 4L 6. -1 �j L/ ,/9Z Commercial❑
4 _DURESS Type Const. Occupancy Sprinklered
p7RESS C �,� .)L) ❑Yes ❑N4o ❑Req'd. 0 * * 16.0 0
�-
DES( E PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area * 1 6 0 0 6
5. - A *Q 0 0 v
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
7 5 Q 2 2
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6. 08-09-83
No.Baths No.Floors No.Fin.Rooms No.Dwellings 4 9.
TYPE ❑ NEW El ALT. ❑ AD'N. ,><RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. I MECH. ❑ M.H. ❑ POOL orVarianExempt. Required Yes❑ No CI Number
Received Yes E] Nor] i
DESCRIBE WORK ' Shorelines/Flood Hazard Plans Required❑
i
8. -__ (L,t .`r 7tZt_/�,e) 6`' -(-).-7—
YesE Not Applic.0 Received 0
VALUATION ^°SOURCE-� CGAAAS 1 ELECTRIC PUWATER BLIC 0 SEWAGE
0 Ownership FEES COLLECTED
9• F
O
UTILITIES PRIVATE❑ SEWER 0 Public 0 Private 0
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 Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority 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
SIGNATURE OF / , l�, APPLICATIONg-_"_,..._e Com; -rt DATEMech. j •jam.
OWNER OR AGEN . � � ! c'.'
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE RE• RSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health C��'�-� h1/64--).7- SEPA
Planning Ems-C�/ Modular/
MFG.Home a-
Fire ( (90 TU
O
Prevent. V
Other(Specify) LU
Engineer —I
Utilities .Z:, LL
TOTAL $,i___—'—
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED +` 7 5 0,3 z * 16.0 0 °
Building ( t( IN 180 DAYS 0 8 -0 9 -8'3
3
Tech. V �y�/,J//�} DATE ISSUED PERMIT NO. TOTAL
1 //