1980, 10-24 Permit: 80B-2638 Hot Water TankMBER
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 LEGAL DESCRIPTION =ACHED
LOT BLOCK ISUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
ADDRESS ZIP / Actual Set Backs in Feet
115,;0 . T 0 Zi North South East West
CONTRACTOR i PHONE Size of Parcel Zone Classification
AD RESS ZIP_
4.
Type Const. Occupancy Sprinklered
ll, []Yes❑No ElReq'd.
DESIGNER 7 / PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor I Upper Floors I Garage Ar;T Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement I Unfin. Basement
6.
No. Baths No. Stories I No. Rooms No. of Dwellings
TYPE 1-1 NEW El ALT. El AD'N. El RPL. El MVE.
7, OF ❑ OTHER
WORK El BLD. $4 PLMB. 11MECH. ElM.H. 11 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
C IBE WORK Enum. Dist. I Location (Area) FEES COLLECTED
ALUATIO SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES Public ❑ Private ❑
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing �—
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALSSPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
Plan Check
SEPA
Mobile Home
PERMIT C`.JMBErti-.
' X9,00
rl Ln
*9.00
A 0 0
2b3.7I
?0-24-80
6.4 ? 9.
Other (Specify)
TOTAL $ 1
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Idin Te inicia� PERMIT IS NONTRANSFERABLE I .' (I 2; _ �- L '�°.� — * C 6 O o _
✓Lt ✓�" PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL