1983, 07-22 Permit: 83A-6840 Hot Water TankPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - DEPAR. ,47ENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
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APPLICANT: COMPLETE NUMBERED SPACES -
PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
t
PARCEL NO.
LO`
2.
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
OWNER
PHONE
PHONE
MAILINGADWES9
ZIP
Actual Set Backs in Feet to:
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North South East
West
CONTRAC OR y
LICENSE EXPIRES
%
PHONE l!; j,' '
Size of Parcel
Zone Classification
Residential ❑
Commercial ❑
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ILL l� TI
4.
ADDRESS _ „„ s,,
Zip,
TYpeConst.
Occupancy
__
j 1-,
[-]Yes ❑ Req' d.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basemi
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE El NEW El ALT. El AD'N. �I,RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. Ca MECH. ❑ M.H. ❑ POOL
Certifi. of Exempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes 11 No❑
DESCRIBEWO —
8 ���
Shorelines/ Flood Hazard
Plans Required ❑
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Yes 1-1 Not Applic. ❑
Received ❑
VALUATION '*[SOURCE
GAS
ELECTRIC
WATER
0
SEPTAL D
Ownership
I
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private ❑
I hereby ceM,Ify 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 type of
Building
work will be compiled with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REWIRED INSPECTIONS
Plumbing
SIGNATURE OF �.., / �� �,� APPLICATION
J
OWNER OR AGEN /_ — DATE
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env. Health
/
�
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J
SEPA
Planning
-
f
Modular/
MFG. Home
Fire
Prevent.
�
Engineer
f� �"Ga�
Other (Specify)
Utilities
SEPA
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
PERMIT NUMBER
04* *1&00
* 1 6.006
A *0,00 00
683.92
07-22-83
6.479.
TOTAL $ I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. q
DATE II UED2 — PERMIA9. 0 z * 16. 0 0 110FA' L