1983, 01-21 Permit: 83A-0538 Solar 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 DDRESS
1. _ ! -s /_24w_pLOTc ION
2.
LEGAL DESCRIPTION - SEE ATTACHED
3.
4.
5.
01p/}J/ �R
ADDR
CO TRACTORTOR
ADD
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DES
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CHANGE OF USE FROM
6.
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ZIP
PH !`VE
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PHONE
ZIP
PARCEL. NUMBER/S
Actual Set Backs in Feet
North !South
Size of Parcel
Type Const.
Valuation
Main Floor
Occupancy
East (West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Upper Floors Garage Area
Storage
Area of Decks Finished Basement Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
0 BLD.
$ALT_ ❑ AD'N.
❑ PLMB. 0 MECH.
O RPL.
O M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories No. Rooms No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd. Not Req'd.
SESC� IBE R
Enum. Dist.
Location (Area)
:9.
VALUATION SOURCE GAS E,CTRIC
OF
UTILITIES
WATER
SEWER
Ownership
Public D 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
SPECIAL APPROVALS
p NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICANT
SPECT CONDITIONS:
iO�I���E" ' rL-L -0•ZC-Gr__!
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMITDUMBER
- 063°0
0'4* *14.00
* 1 4-006
A *Q00
53.72
01-21-83
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0.1'-21-83
5.3,85 *1400aF
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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