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1983, 01-07 Permit: 83A-0136 Heat Pumps(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 AD RESS p� 1. © kl,✓ — //jj LOT BLOCK SUBDIVISION, OWNER 3 •s ) (�- •Q AD£ RESS7 CO RA CTO? 4. AD 5. LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER /S k- .41.a6a PHONE Zyk NONE DESIGNER ADDRESS CHANGE OF USE FROM 6. TYPE 7, OF WORK L Actual Set Backs in Feet North 'South Size of Parcel East West Zone Classification PHONE ZIP TO NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ❑ BLD. ❑ PLMB. *MECH. ❑ M.H. ❑ POOL DESCRIBE WgRK VALUATI ON SOURCE AS C 9. IC OF UTILITIES X ❑ OTHER Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. Valuation Building Area in Sq. Ft. Main Floor Upper Floors Area of Decks No. Baths Garage Area Finished Basemen No. Stories CERTIFICATE of EXEMPTION Storage Unfin. Basement No. Rooms No. of Dwellings Req'd. Rec'd. Not Req'd. WATER SEWER Enum. Dist. I Location (Area) L_ 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 //7 P SIGNATURE OF APPLICANT SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Enginee Utilities Plans Examiner SEPA Checklist \ :. ling chni.ian PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing ( /Gr• d Mech. ` 1 Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER 04* *19.00 *19.00U A *000 13.52 01 -07 -83 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0,!10`,x;;0 ' 8),3, 13.62 *19.002�•- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL