1980, 08-13 Permit: 80-8480 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
LOT
OWNER
BLOCK
SUBDIVISION
3.--7(./ - 2-,
ADDRESS
CONTAA TOR
PHONE
ae.45—
ZI P
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Se
North
Backs in Feet
1South
Eas
West
ADESS
5' ADDRESS
DESIGNER
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
ZIP
f2o 7
PHONE
ZIP
TO
❑ AD N.
El MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
DESCRIBE WORK
VALUATION
9.
SOURC
OF
UTILITIES
GAS
EECTKIC
WATER
SEWER
Size of Parcel
Type Const.
Zone Classification
Occupancy
Valuation
Main Floor
No. Baths
Upper Floors
Sprinklered
Eves ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Storage
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
Ownership
Public ❑ Private ❑
No. Rooms
No. of Dwellings
Location (Area)
Req'd. Rec'd.
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
NAME DATE
aJ I
Env. Health
Planning .41
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
/-/
04* *9.00
*9.00 N
*9.006
E *0,00 8
84792
08-13-80
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 8 -in, -. 8+0
DATE ISSUED
848.0°
PERMIT NO.
*9,OOd� —
TOTAL