1980, 07-28 Permit App: 80-7743 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
2.
3.
JOB ADDRESS
u�fte
LOT BLO K SWaal ON
OWNER
ADDRESS
/7A) ecan e f%
4. CO NTI:gT
.✓rFil1
!•�OVJnJcADDRSS
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
PHONE
'342'2
ZIP
PHONE �/ y��---
R-) s- `f'dc't>
Actual Set Backs in Feet
North ISOuth East (West
Size of Parcel Zone Classification
t9ao
Type Const:
Occupancy
Sprinklered
Oyes ONo 0 Req'd.
5.
DESIGNER
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE 0 NEW
7. OF
WORK ❑ BLD.
DESCRIBE WOR
8.
VALUATION
9.
0 ALT. 11 AD N. 0 RPL. 0 MVE.
0 OTHER
0 PLMB. (StMECH. 0 M.H. 0 POOL •
SOURCE
OF
UTILITIES
ecaP
GAS
ELECTRIC
WATER
SEWER
No. Baths
No. Stories No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Ownership
Public 0 Private 0
Location (Area)
USE CODE
Req'd.
I hereby cent,/ 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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS '
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities .
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
FOR GAS APPLIANCES
PIPE SIZES
PIPE LENGTHS •
BTUS
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Reed.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify).
4`U ,
io,C3
TOTAL $ 9-ev
PERMIT NUMBER
8d - 7 7513
04* *9,00
*9.00 N
*9.006
E *0.00 8
77422
07-28-80
-5479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'17 -2' L..8°'0' 7'7'431 *'9,0-:0 -
DATE ISSUED PERMIT NO. TOTAL