1982, 10-15 Permit: 82A-9646 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
1.,aa0 �, CAT,
LOT 1 BLO K SUBDIVISION
2.
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
a OWN mES. (9/br/ /J-
AOD /S547.2o e.9 L7/n()
CO3ACTOR
4.
5.
Flee 5
ra .
PHONE
azs3
Z499.wc,.
Actual Set Backs in Feet
North (South
East
'West
PHONPiW a7
Size of Parcel
Zone Classification
ADDM
DESIGNER
X76)
ZPP
Type Const.
Occupancy
Sprinklered
❑Yes DNo 0 Req'd.
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
- Unf in. Basement
TYPE
7. OF
WORK
O NEW
❑ BLD:
0 ALT. 0 AD N. 0 RPL. 0 MVE.
o PLMB. AN ECH. ❑ M.H. ❑POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
8.
DESCRIBE WORK
VALUATIO
9.
SOURCE
OF
UTILITIES
GA )4' t `�
GAS ELECTRIC WATER
Enum. Dist.
Location (Area)
SEWER
Ownership
Public 0 Private 0
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 authority to violate or cancel the provisions of any other state or I a law regulat ng construction or the
performance of construct�'on. SEE REVERSE SIDE FOR REQUIRED INSPE , IONS
DATE OF APPLICATION
SIGNATURE OF APPL
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
[1/44
Building
Plumbing
ech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
04* *1400
*14.006
A *0.00
9645
10-15-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES APERMIT.
110 '115[;