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1980, 06-26 Permit: 80-6354 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 BLO K OWNER i}7/ ) % ) SUBDIVISION 4. P ON ZIP PHONE ADDRESS' f' DESIGNER 5. ADDRESS CHANGE OF USE FROM 6. PHONE ZI P TO TYPE 0 NEW 0 ALT. AD'N. ❑ RPL. 7. OF ❑ BLD. 0 PLMB. 'MECH. 0 M.H. WORK � DESCRIBE WORK, J1 VALUATION 9. SOURCE OF UTILITIES GAS ❑ MVE. 0 POOL ❑ OTHER LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S Size of Parcel Type Const. Occupancy Valuation Main Floor Area of Decks Zone Classification Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. Garage Area Finished Basement Storage Unfin. Basement ELECTRIC WATER SEWER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Enum. Dist. Req'd. Rec'd. Not Req'd. Location (Area) Ownersh i p 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 INSPECT)OfJS DATE OF APPLICATION s C SIGNATURE APPLICANT Z 2r '` J :Jr SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist FOR GAS APPLIANCES PIPE SIZES PIPE LENGTHS BTUS PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Z vti' Mech. Lam. Plan Check SEPA Mobile Home Other (Specify) TOTAL Lc~ M PERMIT NUMBER 04* *9.00 *9,00 (A *9.006 B *000 Ov 63538 06-26-80 g 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. D4e64e6Fii —8 0 PERMIT &J< , A z *' 9 n n o.4