1980, 11-25 Permit: M80B-4188 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
2.
3.
JOB ADDRESS
) C
LOT BLOCK SUBDIVISION
OWNER /
L)
ADDRESS
CONTRAC- T- OR
4' ADDRESS C }
DESIGNER
PHONE
ZIP
IJ-1ONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
Actual Set Backs in Feet
[South East
North
ZIP /
PHONE
Size of Parcel
Type Const.
Valuation
Occupancy
West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
5' ADDRESS
CHANGE OF USE FROM
TO
ZIP
TYPE
7. OF
WORK
NEW
❑ BLD.
❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ PLMB. N,MECH. ❑ M.H. ❑ POOL
❑ OTHER
Main Floor
Upper Floors Garage Area
Area of Decks Finished Basement
No. Baths
9.
DESCRIBE WORK
VALUATION SOURCE GAS
OF
UTILITIES
2
ELECT_FZIC
x
WATER
SEWER
Storage
Unfin. Basement
No. Stories No. Rooms
No. of Dwellings
CERTIFICATE Req'd.
of EXEMPTION
Enum. Dist. I 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 /1,— ""'
SIGNATURE OF APPLICANT bt\Q'r `L
SPECIAL APPROVALS
NAME DATE
Env. Health
Plan Wing
Fire Marshall
Co. Engineer
Utilities
Plans Examine
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
r%
PERMIT NUMBER
n -1°3
OG.* *9.00
*9,00 t
*9.006
R *000
41 87
11-25 -80
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11; -.2 5 -8.0
DATE ISSUED PERMIT NO.
41&82 *9.0021 -