1981, 05-12 Permit: 81A-4633 Hot Water TankN NUMBER 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 A?RESS�9
Zone Classification
LEGAL DESCRIPTION — SEE ATTACHED
1;f-
1//�.-. � /
4' ADDRESS
ZIP
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
❑Yes ❑ Req'd.
DESIGNER
PHONE
Valuation
OWNER
PHONE
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
ADDRESS
KJ.
ZIP
Actual Set Backs in Feet
Finished
Basement
Unfin. Basement
North South East West
CONTRACTOR
PHON
Size of Parcel
Zone Classification
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
-]No
❑Yes ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished
Basement
Unfin. Basement
IJ.
I
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE 'NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
], OF'E] OTHER
El BLD. .� PLMB. M / ECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRIBE WORK
� � , ¢'� ,1 �� i /---
Enum. Dist. Location (Area)
FEES COLLECTED
8 f" Ar e-_, -1 e I—
VALUATION SOURCE G S ELECTRIC WATER SEWER
Ownership USE CODE
9. UTILOITIES
I
Public El 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 aw regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEC I NS
Plumbing
S
?_4
DATE OF APPLICATION SIGNATURE OF APPLI
ech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
ovid
NAME DATE _ `�t` 0 /S T q
'17/ v^� h.,i �C
Plan Check
Env. Health
�/ //
Planning r
SEPA
Fire Marshall Mobile Home
neer
s Lxaminer
cian T PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Other (Specify)
TOTA L $ / l` ,
1$ PERMIT NUMBER
1 -0, to - &
04* * 1 6.00
* 1 6,00
* 1 600
A *0.00 S)
463,2
05-12-81
6.4 7 9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
CS
DATE LED PERMIT NO.
*'1'6 0 0 a: �J-
TOTAL