1980, 05-28 Permit: 80-5061 Hot Water Tank PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
—12_,.. ., SPOKANE COUNTY — BUILDING CODES DEPARTMENT ' P T4D— (c,1
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
Q3 * * 550
1 JOB ADDRESS 9.Z1
LEGAL DESCRIPTION - SEE ATTACHED
.�. /`� f/ _ / � * 5,5 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
* 5.50 Y
2. OWNS PHQNE E * Q.0 Q v
9--1--A_ Pc:,(_-/e /4,,,,,e--
ADDRESS C Z�! . Actual Set Backs` in Feet
0 2
/E-. /-2,- // — / l :f'"---77 • North `South East West Q 5-2 8-8 0
CON RACTOR PHONE 0)-7G) Size of Parcel Zone Classification
' 2',Z . ( lz(e- ,') ' <f-i%--//26 61 7 9.
4' •••RES• ZI /� _ Type Const. Occupancy Sprinklered
�o( 7C/CM /!,C?�l�
Eves ❑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.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. 0 AD'N. ❑ RPL. 0 MVE.
7. OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd. •
WORK 0 BLD. PLMB. El MECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK PEnum.Dist. I Location (Area) ' FEES COLLECTED
VALUATION SOURCE VS ELECTRIC WATER SEWER Ownership USE CODE
OF VVVV Public 0 Private 0
9. UTILITIES X 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 S-C) ,
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n
c.)
Planning
Mobile Home J
Fire Marshall
L.
Engineer Other(Specify)
Utilities �J C
TOTAL $`�
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
g 'c nion PERMIT IS NONTRANSFERABLE 2 .` 8 u 5 0 6.1 z * 5, 5 �j a. F —
.' _ CII,Nivv-e- tfO PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL