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1981, 08-10 Permit: 81A-7977 Heat Pump
PLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - 6UILD;NG CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS LOT BLOCK SUBDIVISION OWNER 3.Mit, ADDRESS 4. PHONE ZIP CONTRA e TOR PHONE :%1".' Vi 4.� LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S Actual Set Backs in Feet North 'South (East Size of Parcel ADDRESS f / Z. V /y fr/t.> DESIGNER 5. ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK ❑ NEW ❑ BLD. ❑ ALT. ❑ PLMB. ZIP PHONE ZIP TO AD'N. iI MECH. O RPL. O M.H. O MVE. O POOL 0 OTHER Type Const. Occupancy West Zone Classification Sprinklered ❑Yes ❑No ❑ Req'd. Valuation Building Area in Sq. Ft. Main Floor Upper Floors Garage Area Storage Area of Decks Finished Basement Unfin. Basemen No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. DESCRIBE_ WORK 8.,.t- � //,z , `,. VALUATION SOURCE, tee? -t GAS ELECTRIC OF 9. UTILITIES v WATER SEWER Enum. Dist. I Location (Area) Ownership Public ❑ 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�yREVERSETSIDE FOR REQUIRED INSPECTIONS © DATE OF APPLICATION O i-i�✓ - O / SIGNATURE OF APPLICAN SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Buil g T nician SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Rec'd. Not Req'd. FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) J TOTAL $ 1 PERMIT NUMBER tA -1CM 04* *14.00 * 14.00 * 1k006 A *0.00 797.6 08-10-81 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0 8 —PI;a DATE ISSUED cy 79'7.75 *14.00t°g - PERMIT NO. TOTAL FII F (()PV