1980, 07-18 Permit: 80-7336 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
3.
JOB ADDRESS
LOT BLOCK
OWNER
.0
SUUUI V ISIUN
L &waif
ADDRESS
CONTRACT
s�Je-0.7
4' ADDRES
6.
DESIGNER
ADDRESS
CHANGE OF USE FROM
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
D PLMB.
8. \j"t'lt
DESCRIBE WORK
VALUATION
9.
SOURCE
OF
UTILITIES
ZIP
PHONE
CYC/Lc, 7
PHONE
ZIP
TO
yl AD'N.
MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
GAS
ELECTRIC
WATER
SEWER
Actual Set Backs in Feet
North South East West
Size of Parcel
Type Const.
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Main Floor
Upper Floors
Building Area in Sq. Ft.
Garage Area
Area of Decks
No. Baths
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist. I
Storage
Unfin. Basement
No. Rooms
Location (Area)
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 INSPECIUONS
DATE OF APPLICATION 46 SIGNATURE OF APPLICANT` ` gLeci"l ^r o
SPECIAL.4PPROVALS
NAME DATE
Env. Health
4
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B din echnician
-%4i lea-
SPECIAL CONDITIONS:
C."
FOR GAS APPLICATIONS
PIPE SIZES
PIPE LENGTHS
BTUS
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Rec'd. Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
4.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
do 733c
04* *9.00
* 9,00
* 9.006
E *0.00
732.52
07-18-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07 -1:;8i_810
DATE ISSUED
7336.2
PERMIT NO.
*9,00 °F.
TOTAL