1980, 07-18 Permit: 80-7338 Heat PumpPLAN NUMBER
aJ
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
LEGAL DESCRIPTION — SEE ATTACHED '
2.
3.
4.
5.
LOT
BLOCK S BD I 1510
OWNE �I
ADDRESS
!
17A
!TV-4-2
CONT CTO
.1/4„./LtTh'vr7
ADDRE•
DESIGNER
PONE
i'0
ZIP
PHONE
3a5-yas
PHONE
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South (East IWest
Size of Parcel
TyPe Const.
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No 0 Req'd.
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
8.
9.
TO
Area of Decks
Finished Basement
Unfin. Basement
❑ NEW
❑ BLD.
DESCRIBE W
VALUATION
❑ ALT. IAD N. 0 RPL. 0 MVE.
❑ PLMB. O. MECH. 0 M.H. 0 POOL
SOURCE
OF
UTILITIES
GAS
ETRIC
WATER
0 OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
Req'd.
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 Taws 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 INSPEC NS •
DATE OF APPLICATION '7-446
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
ire Marshall
"Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
13Alding Technie.cian
SIGNATURE OF APPLICAN
SPECIAL CONDITIONS: //
FOR GAS iaP LIGATIONS
PIPE SIZES
PIPE LENGTHS
BTUS
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
se -
Recd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 2.W
PERMIT NUMBER
80-7338
04* *9.00
*9.00 N
*9.00'6
E *000 2
73238
07-18-80
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
b `ham1��!` 810 7'313.8.= *9, O.:G a -
DATE ISSUED PERMIT NO. TOTAL