1982, 09-23 Permit: 82A-8591 Hot Water TankPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT gZ ^
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. �. /�C��._`� �— cQ LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3. ua��,1CT� ,
ADDR
ZIP
Actual Set Backs in Feet
_
L� .
North South East West
C NTyRACTOR �
PHONE �6 1�
Size of Parcel
Zone Classification
Q-'1_
FESS
4' ADD
^�
ZIP
nst.
Type Copancy
Occu
Sprinklered
(�`
`
❑Yes ❑No 1:1Req'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 i
Unfin. Basement
6.
No. Baths
No.
Stories
No. Rooms
No. of Dwellings
TYPE ❑ NEW 1:1 ALT. El AWN. RPL. 1-1 MVE.
7, OF ❑ OTHER
-Tot
❑BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El
CERTIFICATE
Req'd.
Recd.
Req'd.
WORK
of EXEMPTION
DJSCRIBE WORK
) � -1
Enum. Dist. Location (Area)
FEES COLLECTED
8
� _ `
Lft
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
1UTILOFITIES
��
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 law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
!�
DATE OF APPLICATION 4 ° 162 9 SIGNATURE OF APPLICANT Q-0 0-- ext >`� �! f%LI
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
Plan Check
NAME DATE
Env. Health
Planning
Fire Marshall
neer
Utilities
Plans Examiner
cian
--7
uoriAQn I or),noo
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $16240
U4* *16.00
*1600
A *0.00
859,0
09-23—R2
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09-�`2`3-82, 859.16 -
DATE ISSUED PERMIT NO.
*16.002 -
TOTAL