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1982, 02-08 Permit: 83A-913 Heat PumpsNvUMBER 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 LOT BLOCK BDI ISION LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER /S OWNEF 3. jV�LJ( 3 ` PHONE ADD 7/ 7 CO N T C/T} OPj, (j 4' ADD SS ONE P O,��'-fo2.s� Actual Set Backs in Feet North 'South East Zon West Size of Parcel a Classification Type Const. Occupancy DESIGNER 5. ADDRESS PHONE Valuation ZIP CHANGE OF USE FROM 6. TO Main Floor I Upper Floors Area of Decks Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. Garage Area Storage Finished Basemen Unfin. Basement TYPE NEW 7. OF WORK El BLD. ❑ ALT. ❑r AD'N. ❑ PLMB. py MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBF1 WORK 8. f 1 7 VALUATION 9. SOU RC OF UTILITI.S GAS ELECTRIATER Enum. Dist. I Location (Area) SEWER Ownership Public ❑ Private ❑ USE CODE I hereby certify that 1 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 > iP 3 SIGNATURE OF APPLICANT 6•-k SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Buil 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 $ PEr:M:T iN:JMBER Pqk 213 04* * 1 9.00 * 1 9.00'6 A *0,00 7 IL. 02 -08-82 2 6,479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 01 -0 8 -8 2 9'L3'z *1'9.0 0 T. - DATE ISSUED PERMIT NO. TOTAL