1981, 07-30 Permit: 81A-7600 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
BLK
2.
LOT I PSUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
3tiSf'-C`i—tsr�
AD RESS
`=›. A`til Cp Ps4t LIAN
ONTRACTOR
4'
i7N ]x-14 f,r' Ear C C1
ADDRESS
PHONE
l J��--()Art
ZIP
eo
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
East (West
PHONE
Size of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5.
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
2:44EW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
BLD. ❑ PLMB. AECH. ❑ M.H. ❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.`S(\v`i)—j. Z- It"\:s A
VALUATION SOURCE
OF GAS
9. UTILITIES
i c:
1�.\ E`
EL�`CdR�C WATER
Enum. Dist.
ILocation (Area)
SEWER
Ownership
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 auth it ty 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 1" ` v` SIGNATURE OF APPLICAN
rQ L
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B Iding , echnician
IC' it:Pis—a
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
04* * 1 9,00,
*1900 N
* 1 9.006
A *0.00 0
759,92
07-30-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0,71'''-13 ei 8',1,
1
76 O.OZ
DATE ISSUED PERMIT NO.
*19,OOaI-
l ^T \