1980, 03-11 Permit: 80-2063 Hot Water TankPLAN NUMBER
—�
APPLICATION/ PERMIT
VALUATIONource
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
ELECTRIC
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
SEWER
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
_ZrLEGAL
6ESCRIPTION — SEE ATTACHED
I
I
9,
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
1 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
Ow� �A U (C
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
ONE
�906 �1c:)..
3.
i7'i
performance of construction. Plumbing 3;F61
DATE SIGNATURE Mech.
ADDR SS
n /
lX/
ZIP
Set Backs in eet
Env. Health
/
SEPA
Northred
SouthEast West
CONTR ORD(
PHONE
Size of Parcel
Zone Classification
Utilities
TOTAL $
4.
J�RE� _�
IN THIS SPACE,
Type ConiTj
Occupancy
Sprinklered
r� e,
'�I 1 —�
3
DATE OFFICIAL 1 `� `l
�
APPROVED FOR ISSUANCE
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.
TYPE El NEW ❑ALT. El AD'N.
El RPL. 11 MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF�,(
11 BLD. El PLMB. IYl MECH:
1:1OTHER
ElM.H. 1:1 POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK /`
r
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
PERMIT NUMBER
C, 8C)
DATE
04* *9.00
*`?,00 C
*9,006
E *O.0C t%
206.2-4
03-11-80
6,479.
8.t�— L�C.�
VALUATIONource
ELECTRIC
WATER
SEWER
of
I
I
9,
Utilities
1Z
Single $
1 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 3;F61
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. O�JU �. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THIS BECOMES A PERMIT.
r� e,
'�I 1 —�
3
DATE OFFICIAL 1 `� `l
t. t; t;, Z
APPROVED FOR ISSUANCE
*9.00°