1980, 03-21 Permit: 80-2510 Pool Heater PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT G--10—.). O
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE /7/
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 4 * * 1 8,0 0
JOB ADDRESS * 1 C.0 0
1 / 3/// /A-1- LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 a 0 0
2. E I�
OWNER PHONE * 0.0 0 c
a �p �m
- e�i 26- /9r z Z 0.
2 5 9
ADDREL ZIP Required Set Backs in Feet
// .2-/, North (South lEast (West 033—2 1 —8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
2 6.479,
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
Dyes ❑No ❑ Req'd.
DESIGNER 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 ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. w.,
7. OF ❑ OTHER
WORK I=1BLD. ElPLMB. CIMECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
8. •
DESCRIBE WORK 52 S a--DOto �c , � -6 ,r FEES COLLECTED
VALUATION Source / GAS /��`/`o ELECTRIC WATER SEWER
of
9. Utilities 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. Plumbing
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA o
Planning — w
0
Mobile Home o7
Fire Marshall —
Co. Engineer Other(Specify)
Utilities /q61--------
TOTAL S .
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA ChecklistTHIS BECOMES A PERMIT. O
DATE OFFICIAL LalrUY�.CTY\
APPROVED FOR ISSUANCE —