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1980, 01-02 Permit: M-80-A-9713 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 /-7- _.,_ - 0— -j I LEGAL DESCRIPTION - SEE ATTACHED 1. (' W .S orth South LOT BLOCK Zone Classification 2. hereby certify that I have read and examined this application and have read the "NOTICE" provisions included I JSUBDIVI� Sprinklered OWNER,/ M ' X+ 3. �i l /�►' .. aluation ADDRESS n i7tl� DATE' Oy 00SIGNATUR n"`�" "` Mech.5(� CONTRACTO 4. Basement Area I Garage Area ADORES Env. Health SEPA DESIGNER '' ADDRESS CHANGE OF USE FROM 6. ZIP PHONE PHONE ZIP TYPE ' ❑ NEW ❑ ALT. D"AD'N. ❑ RPL.. ❑ MVE. 7 OTHER WORK ❑ BLD. ❑ PLMB. jJ�MECH: ❑ M.H. ElPOOL ❑ DESCRIBE W K 8. I equired Set Backs in Feet Source of Utilities orth South East West ize of Parcel Zone Classification hereby certify that I have read and examined this application and have read the "NOTICE" provisions included Type Const. Occupancy Sprinklered to give authority to violate or cancel the provisions of any other state or local law regulating construction or the Dyes ❑No ❑ Req'd. aluation Building Area in Sq. Ft. DATE' Oy 00SIGNATUR n"`�" "` Mech.5(� DWL Area Basement Area I Garage Area Storage, Env. Health SEPA Split Entry Split Level Rancher ` Mobile Home Fire Marshall No. Bath7 No. Floors No. Rooms Rec. Roorr TOTAL $ Zone Clearance CERTIFICATE Req'd. I Recd. Not Re of EXEMPTION • DATE OFFICIAL FEES COLLECTED PERMIT NUMBER /�j l PO —A— r1 /- DATE 04* *9.00 *9,0.0 N *90.06 E *00.0 971,2; 01-02,-8,0 @ 6479. VALUATION 9, Source of Utilities GAS ECTRIC i WATER SEWER Single $ 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 Building 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. Plumbing ) Q DATE' Oy 00SIGNATUR n"`�" "` Mech.5(� SPECIAL APPROVALS SPEC I L ONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning Al i, ` Mobile Home Fire Marshall Co. Engineer Other (Specify) Utilities TOTAL $ Zone Clearance IN WHEN MACHINE VALIDATED SEPA Checklist THIS BECOMES A�PPERMIT. 1 0 Il �r 0' 2• '•��o` • DATE OFFICIAL APPROVED FOR ISSUANCE 9`I131z *9..0t0ia-�J- O F— U — W CL rn z