1980, 04-24 Permit: M-80-3950 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
ISO3 LT aek-
LEGAL DESCRIPTION — SEE ATTACHED
3.
LOT BLOCK SUBDIVISION
OWNE
ADORES
PHONE
PARCEL NUMBER /S
ZIP
Actual Set Backs in Feet
North 'South
East
West
CONTRA OR ,
4. AD-DR r5
co
DESIGNER
RHONE
sa,yitC
Size of Parcel
Zone Classification
z99ao
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks Finished Basement
Unfin. Basement
TYPE
7. O F
WORK
❑ NEW
❑ BLD.
DESCRIBE WORK
❑ ALT. AD'N. ❑ RPL.
❑ PLMB. MECH. ❑ M.H.
10
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd
Not Req'd.
Enum. Dist. I Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
FCTRIC
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 INSPECJIQNS
DATE OF APPLICATION uO SIGNATURE OF APPLICAN
itsa
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examine
SEPA Checklist
SPECIAL CONDITIONS:
FOR GAS APPLI(E
PIPE SIZES
PIPE LENGTHS
BTUS
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
6U
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
4* *9,00
* 900
* 9,00
E *0.00
394,92
04 -24 -80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'4t-2 4 " -`8'0
395'0 *9.0'02 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL