1980, 05-06 Permit: 80-4372 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
LOT
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
S ca/5 /2-O
BLOCK SUBDIVISION
3
OWNER
ADORE
A e n kavcd
CONACk�✓^�\ Lei
4'
ADDUSS
DES GNER
ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
ZI P
PHONE
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South East (West
Size of Parcel
Zone Classification
z
f,0/
Type Const.
Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
CHANGE OF USE FROM
6.
TO
PHONE
ZI P
Valuation
Building Area in Sq. Ft.
DWL Area I Basement Area
Split Entry
Garage Area
Split Level
TYPE
7. OF
WORK
9.
❑ NEW
❑ BLD.
DESCRIB�ORK
VALUATION
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
CERTIFICATE
of EXEMPTION
Req'd.
Source
of
Utilities
GAS ELECTRIC
WATER
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 th
performance of copstruction.
DATE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATURE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
•
DATE OFFICIAL '/{�(it�C[/.�l/LI//LGA/ `"r
APPROVED FOR ISSUANCE
Storage
Rancher
Rec. Room
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
1(31
TOTAL $ /
PERMIT NUMBER
DATE S-� —(?2:
*900
*900
*9.006
B *Q00
437.1R
05-06-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
05'`06-80 437.22
*9.00°'