1981, 05-12 Permit: 81A-4638 Hot Water TankPLAN NUMBERPERMIT NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT n.
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
u APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1 � _ LEGAL DESCRIPTION —SEE ATTACHED
LCII I BLOCK ISUBDIVISION I PARCEL NUMBER/S
OWNER r
PH NE
Plan Check
'�
SEPA
a
3. /'L
_�1141
A D ESSe /� A r.
""
Z/ZIIE,'`�i
��-[.i
Actual Set Backs in Feet
(„�
/
North South
East West
CONTRACTOR �r
PH NE
Size of Parcel
Zone Classification
4' ADDRES /�
&
ZIP
Type Const.
Occupancy
Sprinklered
• eo, Q
`
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE
� NEW ❑ALT. ❑ A N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
❑ BLD. 4WOLMB. MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
�_-
of EXEMPTION
I
DESCRIBE WORK �1
g• �
Enum. Dist, Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
I UTILOF
yITIES
Public 11 Private OF
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
type of work will be complied with whether specified herein or not. The gra '
g of a permit does not presume
Building
to give authority to violate or cancel the provisions of any other state or loc I
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEC
the
NS
regZ:Z
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLI N�`
-Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
anning
neer
Utilities
Plans Examiner
04* * 1 6.00
* 1 6,00
* 1 6.00
A *0,00
4637
05-1 2-81
z 6479.
SPECIAL CONDITIONS:
Plan Check
e
SEPA
a
OCD
Mobile Home
g nician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Other (Specify) _✓
IOTA L $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
4 6 3.8 It
DATE ISSUED PERMIT NO.
*`1'600a,_ -
TOTAL