1981, 06-23 Permit: 81A-6229 Heat PumpPLAN NUMBER
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
1.
2.
3.
4.
5.
JOB ADDRESS j1
LOT !!
BLOCK
J 02- .7_12-
LEGAL DESCRIPTION - SEE 'ATTACHED
SU
BDIVISION
PHONE
ZIP
PHONE
ZIP
PHONE
PARCEL NUMBER/S
Actual Set Backs in Feet
North . 'South . East
'West
Size of Parcel Zone Classification
Type Const.
-Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
'Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE 0 NEW
7. OF
WORK 0 BLD.
DESFRIBEWORK
8.
9.
O ALT.
❑ PLMB;
7IAD N. 0 RPL.
MECH. 0 M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No, Stories'
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
VALUATION SO RCE
• OF
UT LITIES
GAS Et_5 TR
WATER SEWER
Enum, Dist.
Location (Area)
Ownership
Public 0 Private ❑
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. SEE REVERSE SIDE FOR REQUIRED.INSPECTIONS
DATE OF APPLICATION 62- o�-ot.- "fl •SIGNATURE OF APPLICANTj y-
(_sL��.6.�J_�
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checkl
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA.
Mobile Horne
Other (Specify)
TOTAL. $//
re—
PERMIT NUMBER
;ik -(oZ2:=2
p'4 * *;14.:(10.
* 140,0'
* 14.0A6
A *000
62288
"06k23-81
g 6479.
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.,
113i(L)2(151.t-18;f11!,, 6 2 2
DATE ISSUED PERMIT NO.
*140.0,n -
TOTAL