1980, 04-15 Permit: M80-3508 Heat PumpBuilding Area in Sq. Ft.
PLAN NUMBLR
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS LOT BLuCK 2a d,
SUBDI'VISION
LEGAL DESCRIPTION - SEE ATTACHED
3
OWNER
A D DILL S
„e,
4
ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
ZIP
Pse)-56se
PHONE
ZIP
PARCEL NUMBER/S
Required Set Backs in Feet
North
South
(East 'West
Size of Parcel
Type Const.
Occupancy
Valuation
DWL Area
TYPE
7. OF
WORK
8 D tit—P soil t gi
VALUATION Source GAS ELECTRIC
of Y/J
Yl, /
9• Utilities
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
RPL.
////------��L. A D' N . ❑
5Y��/�MECH: ❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Basement Area
Split Entry
No. Baths
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Garage Area
Storage
Split Level Rancher
No. Floors
CERTIFICATE
of EXEMPTION
WATER
No. Rooms
Rec. Room
Req'd. Rec'd.
Not Req'd.
SEWER
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/ cAt)
nstruction.
(
DATE -6/I
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATURE 6/LQ
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
1
DATE
OFFICIAL Ct '___'_ YN
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
M,O-- 5c
DATE
*9.00
*9.00
*9.006
E *000 0
35072
04-15-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
p `4 LT 5'-' 8.0
350.85
*7.000-