1983, 01-24 Permit: 83A-0576 Heat PumpsPLAN N...
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 SUBDIVIION
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
3.
4' ADD SS
- 9 //
PHONE
ZIP
Actual Set Backs in Feet
North 'South
Size of Parcel
DESIGNER
Type Const.
Occupancy
PHONE
Valuation
ADDRESS
ZIP
6
CHANGE OF USE FROM
TYPE
7. OF
WORK
TO
Main Floor I Upper Floors
Area of Decks
East
West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Storage
Finished Basement
Unfin. Basement
NEW ❑ ALT. • 0 AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. 12Y. MECH. ❑ M.H. ❑ POOL
DESCRIBE 0
■ L
VALUATION
9.
SOURCE
OF
UTILITIES
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
Rec'd.
Not Req'd.
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 APPLCATION
Q / J SIGNATURE OF APPLICANT %- i.1•'✓
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
04* *19.00
* 1 9.006
A *000 8
57.5
01,-24-83
2 647'9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0.1-24 -85
57.62
*19.00°x,,
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL