1981, 11-12 Permit: 81B-1719 Heat PumpPLAN NUMBER
APPILICATION/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.
JOB ADDRESS -y�i /� ;a"..
�
LOT SUBDIVISION
BLOCK
LEGAL DESCRIPTION - SEE ATTACHED
O ER
3.•
'-,
ADDRESS
CONTRACTOR/r--�
eft Z er //3Z I.1 Ps✓
4.
5.
PHONE
PARCEL NUMBER/S
ZIP
Actual Set Backs in Feet
North 'South. - East 'West
fJA., -AI
PHONE
Sze of Parcel Zone Classification
ADDRESS
DESIGNER
ZIP
75z.07
Type Const.
Occupancy
Sprinklered ,
Oyes ONo - 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
Unfin. Basement
•
TYPE
EW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
7. OF • 0 OTHER
WORK 0 BLD. 0 PLMB. .1 9/IECH. 0 M.H. 0 POOL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
8. lj�/�
G,DESCRIBE WORK
9.
VALUATION
SOURCE
OF
UTILITIES
������
_EMSELECTRIC WAXER
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 local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION O SIGNATURE OF APPLICAN/'C-G-t—�CL,FiJL1�'U
SPECIAL APPROVALS - SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utiht es
Plans Examiner
ding5ec
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single' $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL
PERMIT NUMBER
g?7G3-r71?
13.4* *1400
*1400
*14006
A *000 S
171.8!
1.1-12-81
6479. '
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
•, 11 g!`l
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE - DATE ISSUED
1'719g.
' PERMIT NO.
:*14002IJ -
TOTAL