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1980, 07-16 Permit: G80-7103 Water Heater
PLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILD,IG CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHI' PON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1. 2. 3. JOB ADDRESS �BLOLK 1SUBDIVISION LOT LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S OWNER 14 y 1 E J- Air H %f e !Y L ADDRESS /07a© --19 PHONE 7 d ZIP Actual Set Backs in Feet North 'South East West CONTRACTOR 4. ;�ce / f /A(6- G� ADDRESS DESIGNER 5. ADDRESS PHONE y - y97:)" Size of Parcel Zone Classification ZIP 5? fr G PHONE Type Const. Valuation Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. ZIP Main Floor Upper Floors ) Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin_ Basement TYPE 7, OF WORK ❑ NEW ❑ BLD. ❑ ALT. O PLMB. O AD N. z.N1 RPL. 0 MVE. O MECH. 0 M.H. 0 POOL ❑ OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. ICs < 4. VALUATION 9. SOURCE OF UTILITIES ;Jug, );t- GAS x -tea Enum. Dist. Location (Area) ELECTRIC WATER 1 SEWER Ownership Public ❑ Private ❑ USE CODE 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. 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 DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist BuF ingniciv PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER 04* A 71622 07-16-80 2 6479. *7.00 *7.00 V) *7,006 *0.00 0 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 'u 7 -16 DATE ISSUED 71.6, 3 PERMIT NO. *7,0021 - TOTAL