1980, 03-31 Permit: 80-2881 Heat Pump1
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1.
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER
'fx.-cam ��-1✓— G` -'Q/
3.
SS
PHONE
ZIP
Required Set Backs in Feet
North 'South lEast 'West
CONT A OR
ADD SS
DESIGNER
5. ADDRESS
PHONE _
3 5"= 41-s P-6
ZIP
52927
Size of Parcel I Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation (Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
8.
9.
TO
Split Entry
Split Level
Rancher
❑ NEW
❑ BLD.
DESCRIBE WORK
VALUATION
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
Source
of
Utilities
❑ MVE.
❑ POOL
❑ OTHER
ELECTRIC
No. Baths
No. Floors
No. Rooms
Rec. Room
WATER
CERTIFICATE
of EXEMPTION
SEWER
Req'd.
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.
DATE .__ S
SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
1 SEPA Checklist
SPECIAL CONDITIONS:
FOR GAS:
PIPE SIZES:
PIPE LENGTHS:
BTU'S:
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
M
PERMIT NUMBER
AT; '"i' i
4 *9.00
* 9,00 65
* 9.006
E *000 8
288.08
03-31-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B COgM/E1S g PERMIT. p
DATE``( OFF!. �, D—",1'� 288.�Z *28.80d.H
APP„. m FOR ISSUANCE —
RECORD OF INSPECTIONS
Final Inspection
DATE REMARKS INSPECTED BY
OP