HomeMy WebLinkAbout1979, 10-24 Permit: 77-6617 Water Heater PLAN NUMBER PERMIT NUMBER 1
APPLICATION/PERMIT '1 _��/7
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
0u * * 9. 00
JOB ADDRESS
1. 112�U 6 '2'–` 14V ILEGAL DESCRIPTION — SEE ATTACHED * 9.p 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 9,O O
2. 1 ``} y�,�{/ 94....= ,%
�,/ E
3. OW Ari/I N 1 I' `W*`� 1 PHONE9 4 %� * 0 0 0 v
ADD ESSZ Required Set Backs in Feet 6 6 1.6 2
12 -.0 5--, l'_.,�-.N ` 0North 'South East 'West 1 0—2 G.-7 9
CONTROR� PHONE Size of Parcel Zone Classification
M 2 6479.
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
,�,/ No.Baths No. Floors No. Rooms Rec. Room
TYPE
11Q NEW ❑ ALT. ❑ AD'N. ❑ RPL. Cl MVE.
7. OF � I=1OTHER Req'd. Recd. Not Req'd.
WORK
CI BLD. 1)ePLMB. ECH: ❑ M.H. ❑ POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK
L re i t-r
8. I N�f�u- �"1��✓� �f�� 1 f/I� 4-AFEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
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 gra ,ng . a permit does not presume
to give authority to violate or cancel the provisions of any other state or lo'. regulating construction or the
performan e f constr tion. Plumbing ,�}
'Tr �f
DATE �� SIGNA,,4' 400,-.5.---
/ ��� - Mech tq .
SPEC AL APPROVALS SPECIAL CO .ITIONS
DEPT. REQ'D. RECD. r� .-:.41/4„.. .4-
Plan Check
Env.Health
Y
SEPA `?
Planning >a
— w
o_
Mobile Home `o
Fire Marshall —
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist �p Y' THIS BECOMESA7PERMIT.
DATE/5 /J // OFF i. l u - f 9 fi C 1. 7 * 9. 0 (�0 2
APPRI I I FOR ISSUANCE _