HomeMy WebLinkAbout1981, 07-16 Permit: 81A-7086 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
1.li- At �� r LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SPARCEL NUMBER/S
2.
OW PHONE
3.
❑ NEW
A DRESS i '
❑ AD'N. RPL.
❑ MVE.
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rthal
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El PLMB.
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,tMECH. ❑ M.H.
❑ OTHER
❑ POOL
Set
N
East West
CO TRACTOR
PHONE
Size of Parcel
Zone Classification
Not R
X..j-
/
`
of EXEMPTION
4.
DESCRIBE WORK^
/
Enum. Dist.
Location (Area) FEES COLLECTED
A�pipR S
ZI
Type Const.
Occupancy
Sprinklered
*
t`j`(�
r r
4j
❑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.
TYPE
No. Baths
No. Stories
No. Rooms
No. of Dwellings
❑ NEW
❑ ALT.
❑ AD'N. RPL.
❑ MVE.
7, OF
WORK1:1 BLD.
El PLMB.
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,tMECH. ❑ M.H.
❑ OTHER
❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not R
/
of EXEMPTION
DESCRIBE WORK^
/
Enum. Dist.
Location (Area) FEES COLLECTED
>. '1 /
VALUATION SOU E GAS ELECTRIC WATER SEWER
Ownership USE CODE
9. UTILTIES Public ❑Private 01 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 i Plumbing
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
niCa
C
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mech.
t-�---
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ Z.L--
PERMIT NUMBER
P,` A --709;&
04* *19.00
*19.00
* 1 9,00
A *0,00COD
708
0Tt16-81
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
i; ' 4 ,r
6-8.1, 70&62
DATE ISSUED PERMIT NO.
*19.00(L
TOTAL
L, 4
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