1980, 10-23 Permit: 80B-2561 Hot Water Heater PLAN NUMBER APPLICATION/PERMIT 'ff PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT " 803 ' S4. I
(0/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
Amirisiimmile
1 JOB ADDRESS /// f� LEGAL DESCRIPTION - SEE ATTACHED 4 * * 9 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * U 0 U
2. . * 9. 00
OWNER PHONE
3. it; „e,n/amu 1� '._IC'=53 A * ; C, ,
ADDRESSActual Set Backs in Feet 6
pp250
5. -ryoz__ L.bU� 6' North 'South East West
CONTRAC OR PHONE Size of Parcel Zone Classification 1 r
/k �' / _ I0-G3-80
4' ADD S / / ZfP Type Const. Occupancy Sprinklered z 6 U.7 9,
Z-- 0_ Y al -CQ,1ta._> `/Yr�6 f Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors ( Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
,.��s6
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
NEW ❑ ALT. *D'N. ❑ RPL. ❑ MVE.
7. OF 'tttt ❑ OTHER
❑ BLD. I=1 PLMB. �MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK fitc1Enum.Dist. (Area)
C !Locatbon FEES COLLECTED
VALUATION SOURCE GA1'.7 ELECTRIC WATER SEWER Ownership USE CODE
9. UTILITIES ✓Lx Public ❑Private 0
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
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 4Plumbing
Z
DATE OF APPLICATION f `,, SIGNATURE OF APPLICANTMech. l 'C ;
SPECIAL APPROVALS SPECIAL CONDITIONS:
Plan Check
NAME DATE 7�''C-"V
Env. Health
SEPA a
Planning O
Mobile Home ta.l
Fire Marshall
ti
Co. Engineer Other(Specify)
Utilities TOTAL $ q`or,
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
r 0 ..1
BBuildi Techni• ian PERMIT IS NONTRANSFERABLE 1. U.'''Z ''O''U 5 6. * 9, a l
9,, r /� /0/02*Cs' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL