1980, 09-12 Permit: 80B-100 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
JOB ADDRESS
c6.( �.u�
LOT BLOCK SUBDIVIS ON
OWNER
3 `- �'--LCJ�-' `2jr-t
ADDRESS
�1
/1k.SL
4.
CONTRA
ADD
la 1
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
PNE
/7768_
PHONE S}qq
Z�900
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PHONE
ZIP
TO
❑ NEW ❑ ALT. I AD'N. ❑ RPL. 0 MVE.
O BLD. ❑ PLMB. a MECH. 0 M.H. 0 POOL
DESCRIBE WORK
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
p
ELECTRIC
WATER
0 OTHER
SEWER
Actual Set Backs in Feet
North (South East West
Size of Parcel
Type Const.
Valuation
Main Floor
Occupancy
Upper Floors
Area of Decks
No. Baths
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
No. Rooms
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 REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 9-94(-)
SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
.fanning
vire Marshall
Co. Engineer
Utilities
,'fans Examiner
SEPA Checklist
Bi,llding Technician
Storage
FEES COLLECTED
Single $
Building
Plumbing
Mech. L3�
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
7)1
PERMIT NUMBER
8043--/00
04* *900
*9.00
*9.006
A *0.00 0
9. 1 2
09-12-80
2 6,479,
♦ WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
91+-12
DATE ISSUED
80
10,0 z
PERMIT NO.
*9.00a_J-
TOTAL