HomeMy WebLinkAbout1982, 06-25 Permit: 82A-5400 Pool HeaterPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILO NG CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 5- IIl
LOT BLOCK UBDIVISION
2.
OWNEF� O
3. `.moi �7,V'
AD ESS
CONTRACTOR
r\I- 2L , JV"
ADS
DESIGNER
4.
5. ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
✓
PHONE
ZI P
Actual Set Backs in Feet
North (South East 'West
PHONE
" -#1-Io
PHONE
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No E Req'd.
Valuation 1Building Area in Sq. Ft.
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
ZIP
TO
IBJ NEW ❑ ALT. E AD' ❑ RPL. 0 MVE.
❑ BLD. 0 PLMB. CE MECH. ❑ M.H. ❑ POOL
0 OTHER
Main Floor
Upper Floors 1 Garage Area
Storage
Area of Decks
Finished Basement
Unfin. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
8.
9.
DESCRIBE WORK
FC�1., t+-
VALUATION GAS
SOURCE
OF
UTILITIES
Enum. Dist. I Location (Area)
ELECTRIC
WATER
SEWE R
Ownership
Public ❑ Private ❑
USE CODE
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
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
DATE OF APPLICATION 6--15 SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
g Te
SPECIAL CONDITIONS:
}4- I ?� M
P([1 f\lel
(i)
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
PERMIT NUMBER
5 r
04* *19.00
*19.006
A *0.00
539.98
06-25-82
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
06"-2 5-8 2
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
54Q0*19.00° -.
PERMIT NO. TOTAL