1981, 01-27 Permit: 81A-0935 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 A 1
1. ...11lf/9 s lafe>,s
LOT BLOCK SUBDIVISIO
2.
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/5
OWNER v
3. /iGGNO
ADDRESSS
CONTR CTO
a. ,CZ/ — T.uer GC ,-P.I
ADD FjS dS
et( TZ5.1
5.
DESIGNER
ADDRESS
PHONE
ZIP
Actual Set Backs In Feet
North . 'South ' `East 'West
PHONE
sze-rrev
Size of Parcel 1 Zone Classification
f,zc/
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
Valuation (Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in.. Basement
TYPE 0 NEW
7, OF �1
WORK y�BLD.
❑ ALT. A.AD N. 0 RPL. 0 MVE.
❑ PLMB. 0 MECHJ 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESC IBE WOR
8. X0/.1 e ,Cel
Enum. Dist.
Location (Area)
VALUATION
9.
'SO th RCE GAS
OF
UTILITIES
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 local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION / Z `d
SIGNATURE OF APPLICANT_ ve deedei DiL
SPECIALICAPPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utllitie
Plans Examiner
SEPA Checkl
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
/1
PERMIT NUMBER
04* *1400
* 1400 tz
* 14.006
A *GOO
9342
01-27-83
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
9:350'1;7,217'7:81 '
1 1 * 00
1'4dE11-
DATE ISSUED PERMIT NO. TOTAL
r