1981, 04-29 Permit: 81A-4074 Heat PumpNUMBER
APPLICATION/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
JOB ADDRESS
LEGAL DESCRIPTION —SEE ATTACHED
LOT I BLOCK S BDI IS ON PARCEL NUMBER/S
2.
OWN —in 19 ' "ti ,5 � e PHONE /S �a ;7
3.
PERMIT NUMBER
/1 2!7,f - 7
04* * 1 4.00
*14.00
* 1 4,00
A *0,00 c
4073
ADDRESS
ZIP
Actual Set Backs in Feet
"
North South
East West
o4-29-81
CONTRACTOR
P� NE
7
Size of Parcel
Zone Classification
6,479.
,o
17
5
4.
AQDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑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
6.
TYPE❑ NEW 11 ALT. AD'N. 1:1 RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
1
7, OF ❑OTHER
_]
El1
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
D CRIBE WORK
Enum. Dist.
Location (Area)
8.
FEES COLLECTED
LUATION
SOURCE
GAS
EL CTRIC WATE
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public ❑Private ❑
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
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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION ice
- p O
Mech.
r
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
L
Co. Engineer
Other (Specify)
Utilities
TOTAL $ !L
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
' ding Tec is a
PERMIT IS NONTRANSFERABLE
,0 '4�`-'2;It�...••'�L:,lr
4 �.�7 4 z *1 Q n r
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. TOTAL*