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1980, 12-04 Permit: 80B-4447 Heat PumpAPPLICATION /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 ADDRE 5 LOT BLOCK / 06 SUBDIVISION 3. OWNER ADDRESS CONTRA T•R P HONIQ. Z` q PHONE - ADD z DESIGNER 5. ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK ZIP PHONE ZIP TO • NEW ❑ ALT. ❑ AD N. ❑ RPL. ❑ MVE. ❑ BLD. ❑ PLMB. e9'MECH. ❑ M.H. ❑ POOL ❑ OTHER DESCRIBE O • VALUATION 9. SOURCE OF UTILITIES LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER /S Actual Set Backs in Feet North South Size of Parcel Type Const. Occupancy Valuation Main Floor CERTIFICATE of EXEMPTION Enum. Dist. Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. Garage Area Storage Unfin. Basement No. Rooms Location (Area) Req'd. GAS ELECTRIC WATER SEWER 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 al. go SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building Technician SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE No. of Dwellings FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ q.eoc) PERMIT NUMBER 04* *9.00 * 900 N * 9006 A *0.00 444.6 -2 12 -04 -80 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 12; -04_80 DATE ISSUED 44472 *9.0,0T e- - PERMIT NO. TOTAL