1980, 08-18 Permit: 80-8697 Heat PumpPLAN NUMB
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
LOT
SUBDIVISION
OWNER
3 , e%ai-44. e'' _ f A. 'et,"/ %/-1/.
ADDRESS
4.
CONTR , TOR
PHONE
ZIP
ADDRESS
/J4'
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
ZI P
TO
,NEW ❑ ALT. ❑ AD'N.
❑ BLD. 0 PLMB. .Pi3 MECH.
O RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
Actual Set Backs in Feet
North South
Size of Parcel
Type Const.
Occupancy
Valuation
Main Floor
DESCRIBE WORK
9.
SOURCE
OF
UTILITIES
GAS ELECTRIC
WATER
SEWER
No. Baths
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
No. Rooms
Req'd.
Location (Area)
Ownership
Public ❑ Private D
USE CODE
I hereby certify that I have read and examined this application and have read the i i0TICE" 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 P 7
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICAN i —� "4'1%9 Z/
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Storage
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
M '97
04* *9.00
*9.00
*9.006
A *000
869.62
08-18-80
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
86.75
PERMIT NO.
*9.00°;
TOTAL
C::
LL