1980, 11-25 Permit: M80B-4186 Heat Pump(PLAN 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.
LOT
/0-7 / `) F, C?
BLOCK SUBDIVISION
OWNER
ADDRESS
4.
CONTRACTOR
ADDRESS
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
TYPE
7. OF
WORK
.NEW
❑ BLD.
TO
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
PHONE
CO"-?
Actual Set Backs in Feet
North 'South East (West
Size of Parcel
Type Const.
PHONE
ZIP
Valuation
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Main Floor
Area of Decks
Upper Floors
Garage Area
PERMIT NUMBER
04* *9.00
*9.00
*9006
A *0.00
41 &5 g
11-25-80
z 6479,
Storage —
Finished Basement Unfin. Basement
❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ PLMB. MECH. ❑ M.H. ❑ POOL
DESCRIBE WORK
L1—.)
VALUATION SOURCE
OF
9. UTILITIES
GAS
❑ OTHER
ELECTRIC
xx
WATER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Req'd.
Rec'd. Not Req'd.
Location (Area)
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 _ 2- 1 _ a / " SIGNATURE OF APPLICANT 6-- -A"-'Q- Ck /1'()
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co_ Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ C L
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11725 -8'0
DATE ISSUED
418,65 *9.00° -
PERMIT NO.