1982, 08-16 Permit: 82A-7190 Solar CollectorPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. C _ 155 c E
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
PHONE
C:17,./?) -9.2.11
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S N -,Z ' of bU.y315.7(0r4wY1-
4te. VPW. fit?' 4 Ext.
ADDRESS
ZIP
gctCJM°i
Actual Set Backs in Feet
1South tOO' [EastirJl (West
North
4.
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
'AGR%C.
ADDRESS
SA Yvtr.
DESIGNER
5' ADDRESS
ZIP
Type Const.
—31°iN
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished
Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW ❑ ALT. IAD N.
BLD. ❑ PLMB. 0 MECH.
❑ RPL.
O M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Rpqq'd.
DESCRIBE WORK
8. Ate, ; t Q IN 6 F ase -+0,2
Enum. Dist.
ILocation (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
g{,DTIC
Ownership _J
Public 0 Private EY
USE CODE
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
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
DATE OF APPLICATION /7 v SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bui in .Technicia
ery
SPECIAL CONDITIONS:
SEr�TrL. SWs-rcn.. Pols No-; SE -45w, To F3E ItuTEQEEa o
%AA r Tal £.1%7 "'Ca 't AC 14.2 en, i or 12-C'+0E1.1c el S�i$y:cr
SK -( —Co bM5.L"CE fNrrfrgc.-Tto'
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
y$
''ICa4
TOTAL $ 'IX)
PER MIT.NUMBE^
e3-ak -10o
r
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'841'• 6 78.2 719.02 *54.00° -
DATE ISSUED
PERMIT NO. TOTAL