1980, 02-28 Permit: 80-1586 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 4 COPIES
JOB ADDRESS
1. South 27
Cheny2 Count - Venadate
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
OWNER
3 R.:rhohd
ADDRESS
4.
5.
PHONE
N VnhfmPh
PARCEL NUMBER/S
S. 2711 Cheny2 C -t. - Venadafe (Un.
CONTRACTOR
PoweA4, Inconpona.ted
ADDRESS
Ea4t 6507 Maffon Avenue
DESIGNER
ZIP
99037
Required Set Backs in Feet
North !South
East
'West
PHONE
535-7714
Size of Parcel
Zone Classification
ZIP
9.9206
Type Const.
Occupancy
Sprinklered
Oyes ONo 0 Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area
Basement Area 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
7.
TYPE'
OF
WORK
O NEW
❑ BLD.
O ALT.
O PLMB.
lx AD N. 0 RPL. 0 MVE.
rX MECH: 0 M.H. 0 POOL.
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Recite].
DESCRIBE WORK
8' l'ahh.iPh heat pump addict .to ex�.ayyy}inbunance �Jy4.tem
VALUATION I Source I GAS • I ELECTRIC WATER
of
9. Utilities
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 the
performance of construction.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
FOR ISSUANCE
• FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
6 nn
Penm-Lt
Other (Specify) 3 • 0 0
TOTAL $ 9 00
DATE
M
Febnuany 27, 1980
04* *9.00
*9.00
*9.006
E *Q00 8
15852
02-28.-80
3 6479.
PERMIT NUMBER
- /5 3
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
I) 2.I- 2:8; _1 g, 0;
158.65
*. 9, ai 0. —
0
LJ
0
Cr)