1982, 11-12 Permit: 82B-0880 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
O ER
ESS
,. waCG
14 out IN5
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South [East 'West
CONTRACTOR
n
F�55
DESIGNER
ADDRESS
5.
3 -7 o'?
P�,Hi7pN1rt
�4� acJ
PHONE
Size of Parcel I Zone Classification
Type Const.
Occupancy
Sprinklered
Oyes 0No 0 Req'd.
Valuation I Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
0 NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. > MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WOR
xa
8.
VKe
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
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 Ioc. 'aw regula -;ng construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEC •NS
DATE OF APPLICATION /0/ • /tt
SIGNATURE OF APPLIC
SPECIAL.WPPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Pl anti ng
Fire Marshall
Co. Enginee
Utilities
Plans Examiner
SEPA Checklist
Building Technician
rJ MP
l d
3()4,00 tris
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE. ISSUED
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL Sit
PERMIT NUMBER
E52-15- oa530
04* *1400
*14.006
A *000 8
87.98
11-12-82
6472
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 =
88.0z *1'4.D0aaI-,
PERMIT NO. TOTAL