1983, 08-03 Permit: 83A-7322 Hot Water TankPLAN NUMBER APPL ICAT ION /PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
WORK
or Variance
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
DESCRIBEWORK
STREET ADDRESS., _
Plans Required ❑
Received LJ
PARCEL NO.
Yes El El
Applic.
LOT
BLOCK
susDl ISION
WATER
El
LEGAL DESCRIPTION:
Ownership
2.
FEES COLLECTED
9
PRIVATE E ❑
SEWER ElBLIC
Public ❑Private-
OWNER
PHONE
� C/L`
PHONE
Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
3.
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 REO IRED INSPECTIONS
Plumbing
SIGNATURE OF , _ APPLICATION
Mech. ! r
OWNER OR AGE( _ ` '-�-, �a� DATE
M ING $kDDRE
ZIP
Actual Set Backs in Feet to:
North II South East West
CO ACTOR
LICENSEEXPIRES
HONE
Size of Parcel
Zone Classification
Residential 11
/
, / _
� _ /
! ;
Commercial ❑
4'
E e
z
Type Const.
Occupancy
inkle_
Spr❑Nor�
❑Req'd.
=
7
�
CPHONE
Li Yes
L
SIGNER
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. Basement
6.
MVE.
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
7.
TYPE ❑ NEW
OF
❑ BLD.
El ALT. El AD'N.
❑ PLMB. ❑ MECH.
kr'A'PL. El
❑ OTHER
❑ M.H. ❑ POOL
Certifi. of Exempt.
Required Yes❑ No❑
Number
WORK
or Variance
I Received Yes No❑
DESCRIBEWORK
Shorelines/Flood Hazard
Plans Required ❑
Received LJ
8 14
Yes El El
Applic.
VALUATION `
SOURCE G S
OF
OF
ELECTRIC
WATER
El
SEWAGE
SEPTIC E
Ownership
r 1
FEES COLLECTED
9
PRIVATE E ❑
SEWER ElBLIC
Public ❑Private-
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
Building
work will be complied 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 REO IRED INSPECTIONS
Plumbing
SIGNATURE OF , _ APPLICATION
Mech. ! r
OWNER OR AGE( _ ` '-�-, �a� DATE
SPECIAL APPROVALS SPECIAL
PRELIM. FINAL DATE
Env. Health
Planning I I I I jt
Prevent
ies
Plans
Exam.
r6j
)NDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
PERMIT NUMBER
04* *16,00
*
16006
A *000 00
73211
08-03-83
2 6479.
TOTAL $
WHEN MACHINE VALIDATED IN THIS
THIS BECOMES A PERMIT.
DATE ISSUED — PERMIT NO� z * 16. 0,&SAL