1980, 01-23 Permit: 80-493 Water Heater PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 1
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
04 * * 9.00
JOB RESS
1. /0 lG / _� LEGAL D'rSCRIPTION — SEE ATTACHED * 9.0 0
LOT T BLOCK SUBDIVISION PARCEL NUMBER/S * n n n
2. '! V V
OWNE� �r
PHONE j E * 0,0 Cj
3. • ' A`"-� i �Cr(TZ�C-C 7aZ6-8k(;,cl
ADD S ZIPJ Required Set Backs in Feet 4 9.2 R.
/6 /6, / 5 t 99,104� North !SouthEast (West 0 1 —2 3—8 0
C9�TRACTOR / PHON Size of Parcel Zone Classification
lid `G�1j..ec 9-4 '-9_Pp G" 6 4 7 9.
4. ADESS / ZI /� / Type Const. Occupancy Sprinklered
' / '/ /U ."�" ., i'u-.L•l.N'�C�.✓ ��V/ G�(j ❑Yes ❑No ❑ Req'd. I
DESIGNER rer��� PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW i ALT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF OTHER
0 BLD. 0 PLMB. LJy.MECH: 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION
D RIBE WORK
�i i FEES COLLECTED
8. � t ccs 41-4-4 . d 17Gc9.
VALUAT- I Source GAS ELECTRIC WATER SEWER
of ,t) }fir
9. Utilities W w 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
Plumbing
performance of construction. / 'i j
DATE SIGNATOR ) 1V' !-i1J�Sd #%4.4,-(a'�-`.• I Mech. C on
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA o
Planning — w
a.
Mobile Home Cl)
Fire Marshall Z
Co. Engineer Other (Specify)�/}}
Utilities g0Ci
TOTAL $
Zone Clearance
NilliWHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist _
THIS BECOMES A PERMIT.
I
DATE iA3 OFFI - `4111110 - f1 .". i} r. n o.i 0..
APPR()‘ I FOR ISSUANCE —