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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