HomeMy WebLinkAbout1980, 12-04 Permit: 80B-4478 Heat PumpPLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.
8524 East Alki
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER Leonard Williams
PHONE
922 -8987
PARCEL NUMBER /S
ADDRESS
8524 East Alki
ZIP
99206
Actual Set Backs in Feet
North 'South [East 'West
CONTRACTOR
ersonalized Service
PHC5 -7333
Size of Parcel
Zone Classification
ADDRESS
PO Box 11277
ZIP
99211
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation (Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
e MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
DESCRIBE WORK
8.
Add Heat Pump
Enum. Dist. I Location (Area)
Req'd. 1 Rec'd.
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
x
WATER
SEWER
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
11.Ra3sizis 8y
DATE OF APPLICATION 12/03/80 SIGNATURE OF APPLICANT a G
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buil TTechnician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech. 3.00
Plan Check
SEPA
Mobile Home
Other (Specify) 6 • 00
heat pump
TOTAL $ 9.00
PERMIT NUMBER
$0E'3- 44 -''T8
04* *9.00
*9.00
*9.006
A *0.00
447,72
12 -04 -80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12i a 44810
b
DATE ISSUED PERMIT NO. TOTAL
41'181 *9.0.01T � -