1980, 04-22 Permit: 80-3791 Hot Water TankPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
VALUATION Source GAS ELECTRIC WATER SEWER
of I/
9. utilities
Single
I 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 I cal law gulati constr ction or the
performance of
construction. Plumbing
DATE— Y✓� �)
SIGNATURE
Mech.
SPECIAL APPROVALS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADD ESS
Env. Health
C
� a
.T {
2-314
Planning
LEGAL DESCRIPTION — SEE ATTACHED
Co. Engineer
LOT
I B=CK
ISUgDIV1510N
PARCEL NUMBER/S
2.
APPROVED
OWNE.Rj
PHONE
3.
nlil
.�- T
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Q -1— b �L
T
ADDRESS
ZIP
Required Set Backs in Feet
CONT CTOR
lk
6-
PHONE
North South
Size of Parcel
East West
Zone Classification
a
4.
ADDRESS 7
�Ij
Z
�-1
Type Const.
Occupancy
Sprinklered
o
r
❑Yes ❑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.
TYPENEW ❑ ALT.
❑
❑ AWN.
❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7.
OF
11OTHER
WORK ❑ BLD. ❑ PLMB.
1:1MECH: ElM.H.
El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
DESCRIBE WORK
$,
t_
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of I/
9. utilities
Single
I 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 I cal law gulati constr ction or the
performance of
construction. Plumbing
DATE— Y✓� �)
SIGNATURE
Mech.
SPECIAL APPROVALS
SPECIAL CON TI NS:
DEPT. REQ'D. RECD.
Env. Health
C
� a
.T {
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE T- OFFICIAL
ARSSUANCE
APPROVED
Plan Check
SEPA
Mobile Home
Other (Specify)
CA, 00
PERMIT NUMBER
�0 1
DATE
04* *9.00
E *0.00
379,0-
04-22-80
6.479,
TOTA L $. clV
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2 2'- 8 0 7 9.1
*�<00n'