1981, 07-15 Permit: 81A-7024 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
9719
LOT B LOCK SUBDIVISION
3.
OWNER
ADDRESS
S'C.c....sl t to
CONTRACTOR
4. ADDRESS
PHONE
ZIP
PHONE
3z�s: o e/
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
El PLMB.
ZIP
PHONE
ZIP
TO
AD'N.
.l0 MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
Actual Set Backs in Feet
North South East 'West
Size of Parcel
Type Const.
Occupancy
Valuation
Main Floor
Upper Floors
Area of Decks
Zone Classification
Sprinklered
❑Yes ❑NO ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
No. Baths No. Stories
Storage
Unfin. Basement
No. Rooms
No. of Dwellings
DESCRIBE WORK
.Lr 6a 1/2
VALUATION
9.
SOURCE
OF
UTILITIES
1 GAS
ELECTRIC
AOP
ANATE R
SEWER
CERTIFICATE
of EXEMPTION
Enum. Dist.
Req'd. Rec'd.
Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
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 7-- /D- 0 /
SIGNATURE OF APPLICANT A.,1 Zza rD/"
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ing T chnician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
SA - -
04* *14.00
* 14.00
* 14.006
A *0.00
702.32
07-15-81
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 7 _11154, t8,1
702.423 *14000 H
DATE ISSUED PERMIT NO.