1980, 10-27 Permit: 80B-2735 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, W.iSHIZ:t.,FON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOS ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
2.
LOT
OWNER
BLOCK
SUBDIVISION
ADDRESS
S" 0 Ltantirr
-
CONTRACTOR
ADDRESS
PHONE
ZIP
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South East 'Wes
Choi
PHONE
Size of Parcel
Type Const.
Zone Classification
Occupancy Sprinklered
❑Yes DNo 0 Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
CHANGE OF USE FROM
6.
TO
Upper Floors I Garage Area
Finished Basement
Area of Decks
Storage
Unfin. Basemen
TYPE
7. OF
WORK
ID NEW
❑ BLD.
O ALT. jAD N. 0 RPL.
O PLMB. RMECH. 0 M.H.
❑ MVE.
O POOL
0 OTHER
No. Bath
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WO
8.
Kea, D-tiv
Enum. Dist.
Location (Ar a)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
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. SEES REVERSE SIDE FOR REQUIRED INSPECTIONS -j-�
DATE OF APPLICATION 6 -2 I "'V:I SIGNATURE OF APPLICANT t i
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
�Ul
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
M Po(3- 2735
04* *9.00
*9.00
*9.006
A *Q00 8
27342
10,-27-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1-9:412114,80:1,
2'7.35g
DATE ISSUED PERMIT NO. TOTAL
CII r nnnv