1980, 02-04 Permit: M80-836 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
_ _SPOKANE COUNTY—.BUILDING_CODES_DEPART.MENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1509) 456-3675
— APPLICANT: COMPLETENUMBEREDSPACES —PRESS -HARD -TO MAKE -4 COPIES -
JOB ADDRESS
f. s /S- D- CENTuRy
LOT BLOCK SUBDIVISION
2. -
OWNER
LEGAL_DESCRIPTION=SEE-ATTACH ED__
PARCEL NUMBER/S
3. WAVME McLAuamr IIU
ADD ESS
,5 � CE- y
CONTRACTOR - - -
A -I PERI -11\1C 4 Rrfroh}p
ADDRESS
E.45 W E1 LF
DESIGNER
4.
PHONE
9 S' .sail
DATE
ZIP
99037
Required Set Backs in Feet
North 'South
East
'West
5. ADDRESS
PHONE 95S,
Size of Parcel - -- - ---- -Zone-Classification
Type Const.
Occupancy—_' _ Sprinklered_ ___-
OVes ONo 0 Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area
Garage Area
Storage _
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE 0 NEW
7. OF
WORK ❑ BLD
0 ALT. AD N. 0 RPL.
0 PLMB. - %MECH: a M.H.'-
0 MVE.
0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE- -----
of EXEMPTION
Req'd. -
—Recd.
Not-Req'd.
DESCRIBE WORK
A' I
VALJ
8. LI i o
Source
of
9. Utilities
HEAT PIA P
GAS
ELECTRIC
>04
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 of cancel the provisions of anyotherstate or local Iaw regulating construction or the -
performance of construction.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS-
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE a -`I - OL/OFFI CIAL 1 WS- 1 \Q/VtM.fT✓`
APPROVED FOR ISSUANCE
— FEES COLLECTED- — -
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ /•00
M
PERMIT NUMBER
`OCA- S3 3Co
04* *9.00
-*9.00
*9.008
*Q00
E'
8352
02-0480_
8 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA egnm IT.
83.65 *9.0'0,°1-1