1981, 09-14 Permit: 81A-9275 Pool Heater, PipingPLAN NUMBER APPLICATION/ PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
0 4 * * 1 9,00
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
�. eicc) 43�
* 1 9 Q 0 N
LOT
BLOCK
SUBDI ISION
PARCEL NUMBER/S
2.
* 1 9.00
OWNER
PHONE
3. IF- -�
- `-2:
A *a00
927.4--9
ADDRESS
ZIP
Actual Set Backs in Feet
3
�^
`�'1�-4xc
North South East West
09-14_81
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4 % 9,
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
—
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF/ E]OTHER
El BLD. ❑ PLMB. N MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK Enum. Dist. Location (Area)
8 , �A `C� o —Eiv iA —PtIC� I j "r •�`�t N FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWEROwnership USE CODE
I
9. UTILOITIES Public ❑Private ❑ 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE SIDE FOR REQUIRED INSPEC'T'IONS Plumbing
�REVERSE
'VDATE // V Mech. cc—,
OF APPLICATION SIGNATURE OF APPLICANTTIfS
SPECIAL APPROVALS SPECIAL CONDITIONS:
SPECIAL
NAME DATE Plan Check
Env. Health
SEPA
Planning
U
Fire Marshall Mobile Home
--�
Co. Engineer Other (Specify)
Utilities
Plans Examiner
Building Technician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL $S Ste_
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
4, :8 `1` 9 2 �j 5 z * 19.0 0 ij- -
DATE ISSUED PERMIT NO. TOTAL