1983, 04-01 Permit: 83A-2524 Hot Water Tank ___
PLAN NUMBER NUMBER
APPLICATION/PERMIT PERMIT/
`
( ,j SPOKANE COUNTY — BUILDING CODES DEPARTMENTe72NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS1. ,--9-,-*-,
j�� LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNEr /PP�HONE 0 4 * I * 1 6.0 0
3. �/� `'i r.S�.4f�' * 1 6006
AAP•RESS 4 ZIP/ / Actual Set Backs in Feet
�� ( -- — r •"1'• - 1 tic=. North 'South East 'West A * 0 0 0 o
O TRACTOR ("\ le.et.....e �/ON 1— ) Size of Parcel Zone Classification
��� \y)�/ /4 — 2 5 2 3 o
4• L, � /`� Zipl Type Const. Occupancy Sprinklered 0 iv'.0 1 —p 3
lJ (�j Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. z 6 4 7 9.
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
TYPE D NEW ❑ ALT. +om AD'N. 0 RPL. ❑ MVE.
7. OF x ❑ OTHER
WORK ❑ BLD. ❑ PLMB. MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WOR . Enum. Dist. I Location (Area) '
8. h" FEES COLLECTED
VALUATION SOURCE J AS ELE RIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private ❑
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 c/a-riling of a permit does not presume
to give authority to violate or cancel the provisions of any other state or lqcal law regulatin ,construction or the
performance of constrti. n.SEE REVERSE SIDE FOR REQUIRED INSPEC 'IONS
Plumbing
DATE OF APPLICATION
_ .-,3 SIGNATURE OF APPli Ti'' -ry [ >• "Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE 3v ad( n\�j �/ Plan Check
Env. Health �i
SEPA �
Planning O
Mobile Home UJ
Fire Marshall -J
IT
Co. Engineer Other (Specify) / /
Utilities J /
TOTAL $ /// 111 I
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE 0 .4`�0 1 —8�3o f
252.42 *1'6�0Oa:�l
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL