1981, 08-14 Permit: 81A-8168 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
S, 6Z3 6i4ex-elz a.
LEGAL DESCRIPTION — SEE ATTACHED
2.
3.
LOT
BLOCK
SUBDIVISION
OWNER
le 4. MeeiWAI
PHONE
PARCEL NUMBER/S
ADDRESS
E rz e-oE -2,'
ZIP
Actual Set Backs in Feet
North 'South
East
West
4.
TRACTOR
` .te /
PHONE
3a -psi
Size of Parcel
Zone Classification
ADDR SS
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
NEW
0 BLD.
❑ ALT.
O PLMB.
❑ AD'N.
O MECH.
❑ RPL.
O M.H.
❑ MVE.
❑ POOL
{OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK 9
8. _Ur� ,30,0rw,O r 37-(4 HaT Yuwip
ELECTRIC
VALUATIONs
9.131 111.-•—
SOURCE
OF
UTILITIES
GAS
Enum, Dist.
Location (Area)
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 INSPECTION
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env, Health
Planning
a
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SERA Checklist
B din :chnician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Sp ify) "7
ka. HI)
TOTAL $ 0
PERMIT NUMBER
04* * 1 4,00
* 14,00
* 14.006
A *0.00
81672
08-14-81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
011-I 14 8 '1'
DATE ISSUED
816.8 z
*14000
PERMIT NO. TOTAL