1984, 02-06 Permit: 84A-1015 Hot Water Heater PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY SiA ` /01.�
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1
STREET/ ,2 -/z, �/ PARCEL NO.
LOT BLOCK SUBDIVISION > LEGAL DESCOUPTION:
2. } 1j/y�
3. O�. CJJo,4,i_��� 7 a.1/00 PHONE
ZI � Actual Set Backs in Feet to:
Mg1L1A1G ,)�E� c�......
_ �� North South East (West
y 3 / LICENSE R S PHOSIE 4/976---Sizeof Parcel Zone Classification Residential❑ *
i `��'T,j y "/rY y�'-✓� Commercial❑ 4
4. Z9y02r Type Const. Occupancy SPrinklered C
x C U
A �so c / �L�ir ❑Yes ❑No ❑Req'd.
lV1 i, fir'
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6. No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑ NEW 0 ALT. 0 AD'N. L PL. 0 MVE.
7. OF � 0 OTHER
WORK
0 BLD. f3�PLMB.�MECH. ❑ M.H. ❑ POOL CCeror Variao Exempt.nce wired Yes 0 ed Yes❑ Nor] Number
DESCRIBE WORK / 1 Shorelines/Flood Hazard Plans Required❑
8. 12/i2 c, Sr,4_EI ) `[/ii Yes❑ Not Applic.❑ Received ❑
VA_L ATlQ[;l SOURCE GAS ECTRIC WATER SEWAGE Ownership FEES COLLECTED
9. -• ` UTILITIES
PREOSEROIVATWEPublic❑Private❑
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 REVE SIDE FOR REOUI
ED INSPECTIONS ( Plumbing J�
SIGNATURE OF I2 �` /j C/� DATE APPLICATION /1 /„ 19811-
OWNER
98� Mech. tO e'-'
OWNER OR AGENT W- t��l// %� `��
SPECIAL APPROVALS SPEdIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning ,
Modular/
MFG.Home a
FirePrevent. ///y 4� O
Engineer Other(Specify) /Or W
Utilities �CO0 /�
TOTAL
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 6 �I
Budding
/j4/ 'l/, IN 180 DAYS (�DATEYSSUED0 8 L/�r PERMITNQ.1.5 z * 2 a O 0'AL