1980, 06-19 Permit: M80-6013 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - SOLOING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.
LOT
2.
'zC??4/ i
SUBbIVISION
BLOCK
�l n -c ,24 /4 0 /t liL
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
OWNER�
3. /1 -✓S r 4 .%
4.
ADDRESS
�a.' J1
CONTRACTOR
cjlf'iv" 1/417/40P,rs
PHONE
ZIP
Actual Set Backs in Feet '
North 'South East 'West
/4.,a .,'f'%!'/
PHONE
Size of Parcel 1 Zone Classification
ADDRESS '
/1 : / 3 w, 171' ,lslc/
ZIP
Type Const.
.Occupancy Sprinklered
0Yes ONo 0 Req'd.
5.
DESIGNER
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
.Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
0 NEW
0 BLD.
ALT. 0 AD N.
0 PLMB. itci, MECH.
❑ RPL.
0 M.H.
0 MVE.
0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
s. 4�?CE if/ i" ec , —c 4'eser r' .4% Sic
VALUATION SO RCE GAS ELECTRIC WATER SEWdR r
OF
9. UTILITIES �- 1
Enum. Dist.
Location (Area)
Ownership
Public O Private 0
USE CODE
I hereby certify that 1 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
1/67769
SIGNATURE OF APPLICANTXZ ..(Ti4 r�✓.%c2
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marsha
Co. Enginee
Ut 11 it les
Plans Examiner
SEPA Checklist
Bing Techni Ian
Zak
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $ �'
Building
Plumbing
p0
Mech:' / `
Plan Check
SEPA
Mobile Home
Other (Specify)
• o Do
TOTAL $
4
PERMIT NUMBER
M -%o -&o13
04* *9.00
*9.00 rn
*9.006
*000
599.7B
06-1,9-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
13IbHil VY 8? 0
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
115'0 1,3 z
PERMIT NO.
*9.0ODai
TOTAL
TORNIO O'S SASH ARMED GLASS
N. 102 HELENA STREET • SPOKANE, WASHINGTON 99202
PR J ►•A N4C, PO
ccs
•
r
0'
PHONE: 534-0537
1