1981, 03-02 Permit: 81A-1962 Heat PumpPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT /4,1 S 6 (�
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
�.
LOT1___EFLO�R
2 OWNER
3. `
APPLICANT: COMPLETE NUMBERED SPACES = PRESS HARD TO MAKE 3•COPIES
LEGAL DESCRIPTION — SEE ATTACHED 0 4 * * 1 4.0 0
SU43DIVISOION PARCEL NUMBER/S * 1 4.00 N
PHONE
* 1 4.000
A *000
DRESS, I
ZIP
Actual Set Backs in Feet
1_961 z
air
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification •
03— 0 2 —81
4. AAPDRESS V
ZIP
Type Const.
Occupancy
Sprinklered
2 6.479.
G
-]Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
_
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
I
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7. OF�,( ❑ OTHER
El BLD. ❑ PLMB. f5d MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
/
of EXEMPTION
I
DESCR BE WO K c
Enum. Dist. Location (Area)
8
FEES COLLECTEf)
7.
VALUATION
SOURCE
GAS
ELECTRI WATER
SEWER
Ownership
USE CODE
9.
1UTILITIESO
�/�'/'
J<
Public ❑ Private ❑
Single - $
g
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
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the-
he
performance of construction. SEE REVERSE SIDE,FOR REQUIRED INSPECTIONS 10193
performance
7/O! r{/
Plumbing �\
6 `
%o —6.1-
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DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
.;
NAME DATE
Plan Check
Env. Health
SEPA
Planning
ate.
O
U
Fire Marshall
Mobile Home
J
U_
Co. Engineer
Other (Specify)
Utilities
, Dy
TOTAL $ /•
Plans Examiner
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
ng n clan
PERMITIS NONTRANSFERABLE
i ii ; `
0 3 i, 0 l 1.2, . i8
o O V -
1i 9 6: 2' Z, ` * 14'.O O
_
,, :1'Is::
a ii-:
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. TOTAL