1980, 03-11 Permit: 80-2051 Heat PumpPLAN NUMBER APPLICAT16N/PERMIT
SPOKANE COUNTY - BU(LDING CODES DEPARTMENT
NORTH 811 JEFFERSON/ SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDI ISION PARCEL NUMBER/S
2.
PERMIT NUMBER
4- N\ I C; p -- a C)
DATE %(7 ' RQ
04* *9.00
*9,00
E
205,0-12
03-11-80
6.479.
VALUATION
9,
OWNER
I J
CLECTT1IC
\
WATER
SEWER
PHONE -/
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
3.
�
to give authority to violate or cancel the provisions of any other st or local law re ' g construction or the
— d
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ADDRESS
SPECIAL APPROVALS SPECI L NDITIONS:E�
ZIP
Required Set Backs in Feet
Env. Health
SEPA
Planning
North South
East West
Co. Engineer Other (Specify)
CONTRA T R
Utilities
TOTA L $
PHONE
Size of Parcel
Zone Classification
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS A PERMIT.
nBECOMES
DATE OFFICIAL �. `
r 5. ;
L i'' -
4.
S
ZI
Type Const.
Occupancy
Sprinklered
�• p?(�
C"Q`
❑Yes [:]No ❑ Req'd.
t"J
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE El NEW 1:1 ALT.
ElAD'N.
1:1 RPL.
ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7
❑OTHER
ElBLD. 11PLMB.
E)MECH:
❑ M.H.
❑ POOL
CERTIFICATE
Req'd. Recd. Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WOR
8
til
FEES COLLECTED
PERMIT NUMBER
4- N\ I C; p -- a C)
DATE %(7 ' RQ
04* *9.00
*9,00
E
205,0-12
03-11-80
6.479.
VALUATION
9,
Source
of
Utilities
GAS
CLECTT1IC
\
WATER
SEWER
Single $
1 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 st or local law re ' g construction or the
performance of construction. Plumbing
-�— j c0 , Q0
DATE SIGNATUR Mech.
SPECIAL APPROVALS SPECI L NDITIONS:E�
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTA L $
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS A PERMIT.
nBECOMES
DATE OFFICIAL �. `
r 5. ;
L i'' -
H
C9