1982, 11-19 Permit: 82B-1226 Hot Water TankPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT l Za
1 14 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 '
JOB ADDRESS
1. `i
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
` LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVIS ON 4ARCEL NUMBER/S
VALUATION SOURCE AS ELECTRIC WATER SEWER Ownership USE CODE
9, 1UTILITIEOS 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 grant' g of a permit does not presume
to give authority to violate or cancel the provisions of any other state or localregulatin onstruct'on or the
performance of construction SEE REVERSE SIDE FOR REQUIRED INSPECTI NS Plumbing
DATE OF APPLICATION
//1"/SIGNATURE OF APPLICA ch.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE -n{ G,�/ �,�-� �(-/�7 /,/ "
nv. Health J // (jac &:7 �`
anning
ire Marshall
o. Engineer
tilities
lans Examiner
mil-cian
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $AJA!2-
04 1r * 1 6.00
*16006
A 00
122,5E
11=19—R2
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1`1 19� 82 122,655
DATE ISSUED PERMIT NO.
* 16. �g-I AlE
3.
AD S
ZIP
Actual Set Backs in Feet
— C
�'T1,
North South
East West
CO RACTOR
PHONE �
Size of Parcel
Zone Classification
4.
AD SS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESI ER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
I Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE ❑NEW
El ALT. ❑ AD'N.
El RPL.
El MVE.
I
7,
OF
1:1 BLD.
❑ PLMB. ,�MECH.
❑ H.
El POOL
❑ OTHER
CERTIFICATE
Req'd.
Rec'tl.
Not Req'd
WORK
of EXEMPTION
DESCRIBE W R
IJ y�
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION SOURCE AS ELECTRIC WATER SEWER Ownership USE CODE
9, 1UTILITIEOS 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 grant' g of a permit does not presume
to give authority to violate or cancel the provisions of any other state or localregulatin onstruct'on or the
performance of construction SEE REVERSE SIDE FOR REQUIRED INSPECTI NS Plumbing
DATE OF APPLICATION
//1"/SIGNATURE OF APPLICA ch.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE -n{ G,�/ �,�-� �(-/�7 /,/ "
nv. Health J // (jac &:7 �`
anning
ire Marshall
o. Engineer
tilities
lans Examiner
mil-cian
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $AJA!2-
04 1r * 1 6.00
*16006
A 00
122,5E
11=19—R2
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1`1 19� 82 122,655
DATE ISSUED PERMIT NO.
* 16. �g-I AlE