1979, 07-25 Permit: 79-966 Hot Water TankPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
�77-
DATE Juts , r�17U
04* / *1200
*1200
*12000
B *0.00 0
9652
07-25-79
R 6479.
8.110(f VCV
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 rOPIES
V 'LUATION Q
JOB ADDRESS
,t
- -
LEGAL DESCRIPTION - SEE ATTACHED
SEWER
9.
,
LOT
~BL CK
SUBDIVISION
PARCEL NUMBER/S
2.
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
OWNER
provisions of any other state or local I w regulating construction or the
Plumbing
performance of construction.
1�'
� o�
3.
" 2 �
DATE -4
SIGNATURE
Mech. 1,S
SPECIAL APPROVALS
SPECIAL CONDITIONS:
Plan Check
DEPT. REQ'D.
AD ES
Ia
ZIP
Required Set Backs in Feet
Planning
l�-�
_
Mobile Home
Fire Marshall
LNorth
Co. Engineer
South
East West
CCVOR�
P5
j
r
PHQ E'
&/V
Size of Parcel
Zone Classification
WHEN MACHINE VALIDATE
(
/
THIS BECOMES A PERMIT.
SEPA Checklist
0 7- 2 5- 7 9
4'
ADDR SS
z _—
Type Const.
Occupancy
Sprinklered
DOJO
z�
❑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.
No, Baths
No. Floors
No. Rooms
Rec. Room
TYPE ❑ NEW
El ALT.
ElAD'N. ❑ RPL. ElMVE.
7,
OF
❑ BLD.
+ ❑ OTHER
❑ PLMB. Wl MECH: ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
/
of EXEMPTION
„,--QJESCRIBE RK
GU r � _
FEES COLLECTED
PERMIT NUMBER
�77-
DATE Juts , r�17U
04* / *1200
*1200
*12000
B *0.00 0
9652
07-25-79
R 6479.
8.110(f VCV
V 'LUATION Q
Source
GA
ELECTRIC
WATER
SEWER
9.
of
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 I w regulating construction or the
Plumbing
performance of construction.
1�'
� o�
/ V 0-61
" 2 �
DATE -4
SIGNATURE
Mech. 1,S
SPECIAL APPROVALS
SPECIAL CONDITIONS:
Plan Check
DEPT. REQ'D.
RECD.
Env. Health
/.� I %%
SEPA
Planning
/{
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
TOTAL $—
Zone Clearance
WHEN MACHINE VALIDATE
THIS BECOMES A PERMIT.
SEPA Checklist
0 7- 2 5- 7 9
DATE OFFICIALQ"/ p
APPROVED FOR ISSUANCE
SPACE,
96,62 *1200:°