1979, 08-14 Permit: 79-2190 Hot Water Heater •
PLAN NUMBER APPLICATIM/PERMIT PER-29
MIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT - -./',—°
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS6. / I'/ 0 LEGAL DESCRIPTION — SEE ATTACHED 0 3 * * 5,5 0
1 LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 5 5 0 U
2. * 5506
ov ,
ADDIS ZIP,...)
r^YLO.
Required Set Backs in Feet 2 1 0 9
48c-1) " /,6`; ✓G7 North South [East West
CONTRAC R PH9N, Size of Parcel Zone Classification 0 8- 1 4-7 9
..e7-' (r)/V-e.--A... `c?`///7 6.47 9.
4. AD� � /� 7 L6f l Type Const. Occupancy Sprinklered
��{(% ,...---;'-76 l �� Eyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
4
CHANGE OF USE FROM TO Split Entry Split Level Rancher h
6.
No.Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. iL1 RPL. ❑ MVE.
7. OF ,���� ElOTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. -LY'PLMB. ❑ MECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK - FEES COLLECTED
8. _AZ— ,(�.c�, — � 41) ,Ci ��'
VALUATION /�r� Source GAS ELE T C WATER SEWER
of
9. Utilities Single $
9 _
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 plumbing
performance of construction.
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health cc
SEPA o
I---
C.)
w
Planning — a-
Mobile Home up
Fire Marshall z—
Co. Engineer Other (Specify)
Utilities ��
TOTAL $_
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist f p '1 /I �7 (� 1
DATE ' /9 OFF - •L 112
ym' O 8 l'4 — / 7 % 1 9, 0 2 * 5. 5 0 a F-
APP'I, 'p FOR ISSUANCE