1980, 02-01 Permit: 80-1060 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 4 COPIES
JOB ADDRESS
1. LO a
LOT BLfSUBd
DIV S ON
CONTRA TOR
4. A
. aoc
DESIGNER
5. ADDRESS
P v? —4.43
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South East (West
.[^ (2J5—S-ize of Parcel Zone Classification
PHONE
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area ( Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
8.
9.
❑ NEW
❑ BLD.
DESCRIBE WO
VALUATION
O ALT.
O PLMB.
AD'N.
MECH:
Source
of
Utilities
A`
❑ RPL.
❑ M.H.
GAS
❑ MVE.
❑ POOL
0 OTHER
ELE TRIC
No. Baths
No. Floors
No. Rooms
Rec. Room
WATER
CERTIFICATE
of EXEMPTION
SEWER
Req'd.
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 tte or local law regulating construction or the
performance of construction.
DATE C) — VJ `0
SIGNATURE
5!f'ruL f?t
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAK CONDITIONS:
DATE,1,--5 ,FiciAL
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check (.Q
SEPA
Mobile Home
Other (Specify)
TOTAL
$ ,D0
i'
DATE (V. - S?d
PERMIT NUMBER
.=6p 10toD
04*
* 9,00
* 9.00
* 9,006
E *0,00
105,9
02-11-80
679.
CO
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS ,13 SOrjESA.BEBMIT.j Un
*9.0r!aH
INCDFrrrR