1982, 04-27 Permit: 82A-3243 Pool Heater PLAN NUMBER APPLICATION!/PERMITPERMIT NUMBER
SPOKANE COUNTY— tlUILDING CODES DEPARTMENT eiZA 5Z43
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
t 0/ APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 U_ * * 1 9 Ci C
1. . I 25-2`-t Zia- LEGAL DESCRIPTION - SEE ATTACHED
* 1 00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S Z 7541 '-3k 0E Y
? — 5-STA`T & 7 CJ * 1 9. 0 0
2. a t 661-�S 1)/
NER PHONE p * o C. n c2
3. c°�At :-i' C a
ADDRESS it ZIP Actual Set Backs in Feet 3 2
i 2-52.-4 1-- C North ISouth East West [� 7-8 2
CONTRACTOR PHONE Size of Parcel Zone ClassificatIion
4. .�-0l1(U' let)(-S 10-C_� y - 7(0(9 3 6. 4 7 9,
ADDRESS ZIP Type Const. Occupancy Sprinklered
31 I$ b 1 -- ❑Yes ❑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 4
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF 0 OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. 0 MECH. ❑ M.H. ❑ POOL
of EXEMPTION 1
-
DESCRIBE WORK Enum. Dist. I Location (Area)
`E , C9A6 Pont_ �.�E� Q-A�� I FEES COLLECTED
8 j
VALUATION SOURCE GAS ELECTRIC ATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0
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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONSI.--_�r Plumbing
DATE OF APPLICATION _4 fir-0 2-- SIGNATURE OF APPLICANT`" Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: `
NAME DATE (�^} �.� 00 Plan Check
Env. Health Zcn z O t�`cA,--
/51-7.,,eZ 4 SEPA r
Planning O
i
IYe_" _1S — .:PG S I _ W
e:,-"Z) Mobile Home —J
Fire Marshall
ii_
Co. Engineer r On.(D Other (Specify)
b- —
Utilities TOTAL $ ICI
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B - Technician PERMIT IS NONTRANSFERABLE 0 4,-2 7-8'2} 3 2 4 3 z *1 9.0 0 2,0
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL