1980, 01-08 Permit: 80A-9913 Hot Water TankPLAN NUMBER
I
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
O- -� G1
DATE
Ci4* *9.00
*(.o0 m
*9.000
*0,10
991.28
01 -08-80
6,479,
VALUATION Sour ELECTRIC WATER SEWER
of
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
�
LEGAL DESCRIPTION —SEE ATTACHED
�
/O
�
performance of construction. Plumbing
LOT
BLOCK
S IVISION
PARCEL NUMBER/S
2.
DEPT. REQ'D. RECD. /? 9 0o Plan Check
CJS
J
Env. Health ,�G P
SEPA
OWNER
Mobile Home
P �yE_ `
Fire Marshall
4
m
Utilities Ile
rr/ � (7J
7,
TOTAL
3
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THIS BECOMES A PERMIT.
ADDRESS
ZI
Required Set Backs in Feet
72
C�/'A�V
4�
North South East West
CONTRAC R
PH NE
Size of Parcel Zone Classification
�
4.
ADDRr35���`_._.�
((`�cc—,//'����
Type Const.
Occupancy
Sprinklered
7L
❑Yes ❑No ElReq'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
OWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE ❑ NEW
❑ ALT. ❑ AD'N.
❑ RPL. ❑ MVE.
7,
OFElOTHER
ElBLD.
ElPLMB.
❑ M.H. El POOL POOL
Req'd.
Recd.
Not Req'd.
WORK
'12k/MECH:
of EXEMPTION
I
$
DESCRIBE WORK
C' c
FEES COLLECTED
A61-7
PERMIT NUMBER
O- -� G1
DATE
Ci4* *9.00
*(.o0 m
*9.000
*0,10
991.28
01 -08-80
6,479,
VALUATION Sour ELECTRIC WATER SEWER
of
9, Utilities
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
SIGNATURE_
DATE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. /? 9 0o Plan Check
CJS
J
Env. Health ,�G P
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
m
Utilities Ile
TOTAL
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THIS BECOMES A PERMIT.
' _ rt i\n M r -.,n r' L
411—
APPROVED FOR ISSUANCE
Ir
* , ., l LL I