1982, 08-09 Permit: 82A-6904 Heat PumpPLAN 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 ADDRESS
1.
CJ /1 I L„ L 7L
LEGAL DESCRIPTION - SEE ATTACHED
LOT
3.
BL
ER
SUBD!VISION
PHONE
PARCEL NUMBER'S
• • o RESS
,.-5/)// erg -/es
CON ACTOR
4.
t-4,( c? J
ESS
0 l6- :37th `7
"1
1
ZIP
PHONE .7
)/7/)
Actual Set Backs In Feet
North 'South [East 'West
Size of Parcel 1 Zone Classification
ZIT
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
Valuation )Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
8.
9.
TO
Area of Decks
Finished Basement
Unfin. Basement
❑ NEW
O BLD.
DESCRIBE WORK
VALUATION
❑ ALT. �❑AD'N. ❑ RPL. 0 MVE.
❑ PLMB. ILS.{MECH. ❑ M.H. 0 POOL
SOURCE GAS
OF
UTILITIES
ELECTRIC
0 OTHER
WATER h SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
Req'd.
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 locaw regulating onstruction or the
performance of construction. S E REVERSE SIDE FOR REQUIRED INSPEC SNS _
`-,27, Z SIGNATURE OF APPLI •��
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B • ding hnician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
/D U
Meeh.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
Q-' * *14.00
D`f * 1 4.00,5
A *0.00 8
690.32
08-09-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Q8 1O9 B2 690.45'
*14,00°1_
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL