1983, 09-20 Permit: 83A-9274 Hot Water Tank PLAN NUMBER APPL ICAT ION/PERM IT PERMIT NUMBER
,- _ SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY - 9,"2-71-
GNORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1
STREET ADD SSPARCEL NO.
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWN€R -7 i PHONE PHONE
3. _-0', 44'1`1, 1&>. /- 1
MAILING ADDRESSc�,� / ZIP Actual Set Backs in Feet to:
//', 3 / 1 ulJ � (n North 'South East I West
CONTRACTOR C� (Ow-e1.4._.--, LICENSEEXP E HON X•1-''-' Size of Parcel Zone Classification Residential
`i/, '1
— _/_/ ',_1 1 1 7,_ Commercial❑
4. ADDRE - h ZIP Type Const. Occupancy Sprinklered
p s. 7d . -e., - ❑Yes ❑No ❑Req'd. 4 * * 1 6 0 0
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area * O O U
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse :', * 0,0 0
U
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement `/ 2 7.3 z
6. 09-20-83
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 4 7 9,
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. I'MECH. ❑ M.H. E POOL Certifi.of Exempt. Required Yes No❑ Number
or Variance Received Yes No I-1
DESCRIBE WORK ".fes ) / Shorelines/Flood Hazard Plans Required❑
8. "/ '.,�.i��i�� Yes❑ Not Applic.ElReceived ❑
VALUATION SOURCE AS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9OF
UTILITIES PUBLIC 0 SEPTIC❑
PRIVATE❑ SEWER El Public❑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 REVERSE SIDE FOR REQ IRED INSPECTIONS Plumbing
SIGNATURE OF n / � APPLICATION - j
OWNER OR AGEN1�! / �� �� ��� DATE Mech. ,�/
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health ik / Q .\7. �
Planning Modular/
MFG.Home
Fire , t1.
Prevent. j 0
Engineeer /I16 (\C, Other(Specify) W
✓✓ —.1 1
Utilities i t (}�/_ LL
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
9Z74z * 16,000 .
Building ` 9 `� IN 180 DAYS `I ' — 2 0 - J
Tech.
Y! DATE ISSUED PERMIT NO. TOTAL'.