HomeMy WebLinkAbout1980, 05-16 Permit: 80-4869 Hot Water Tank 'FLAN NUMBER APPLICATION/PERMIT
-PERMIT NUMBER
.S?)&D SPOKANE COUNTY — BUILDING CODES DEPARTMENT G'- D- oq
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS0 4 * * 9.0 0
1. E. /� a _ 0R3-'f- ,449/) e , L fGAL DESCRIPTION - SEE ATTACHED * 9 0 0
tii
LOT BLOCK SUB (VISI N PARCEL NUMBER/S
2. * 9,008
O R PHONE
3. ' OheiE' (t)/4,7 dsc/t) 9�oZ � E * 0 0 0 8
AD RESS +`/ -^� ZIP / Actual Set Backs in Feet 4 8 6 8 z
c2 / n r,! - .--?.44/ L% e, . 9c,,,,;)/6North 'South East (West
CONTI ACTOR PHONE gjer,D7c1 Size of Parcel Zone Classification 0 5— 1 6—8 0
4. I..ems 2.a_ - LL17LtQ7uL / '/ e_ -/i 26 6 4 7 9.
•• ESS p/(� �7
V ei ZIN-,,-. .c --
Type Const. Occupancy Sprinklered
• 1�J /'e) 7 l / c 6 Oyes ❑No 0 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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER -
WORK 0 BLD. 0 PLMB. ismmmrrr MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
/ of EXEMPTION
DESCRIBrORK cd=1{ [ Enum. Dist. Location (Area) r FEES COLLECTED
$ VALUATION SO ELECTRIC ,/W,t,AATTEERR SEWER Ownership USE CODE
o
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 INSPECTIONS Plumbing 9CV
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: ri
NAME DATE -go) Q 0V 8T/, Plan Check
Env. Health �l
qI/ SEPA >.
Planning d
O
U
Fire Marshall Mobile Home w
CZ
Co. Engineer Other (Specify)
Utilities �
TOTAL $ C/l
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
if.ui in hhVllician n .,� PERMIT IS NONTRANSFERABLE D 5 — 1 6 —8'0 4 8 6 9 7 * 'j G n
'a.m�n1 k) PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. Tr