1980, 07-03 Permit: 80-6638 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
JOB ADDRESS
LOT
2.
BLOC
Flzo 3 Ai -go -4...y eine
K SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
OWNERT
3.
ADDRESS
PHONE
9zr Tea
ZI P
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South East IWest
4.
CONTRACTOR
/er %wea' G41s4
PHONE
3zG roo
Size of Parcel 1 Zone Classification
ADDRESS
ZIP
9920 /
Type Const.
Occupancy
Sprinklered
Dyes ONo 0 Req'd.
DESIGNER
PHONE
Valuation - I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE ANEW 0 ALT. 0 AD N. 0 RPL.
7. OF
0 BLD. 0 PLMB. + J MECH. 0 M.H.
WORK
D MVE.
D POOL
0 OTHER
NO. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. iJ
VALUATION
9.
SOURCE
OF
UTILITIES
,LGL/ -,` ,L.r
ELECTR
GAS
Enum. Dist.
Tom/ �in.orrti/ 4a
Location (Area)
WA ER
SEWER
Ownership
Public 0 Private 0
USE CODE
I hereby certify that 1 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 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Healt
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ing T c nician
-9 M nn�V
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED •
Single $ As
Building
Plumbing
Mech.
Plan Check •
SEPA
Mobile Horne
Other (Specify)
TOTAL $ 9
O0
PERMIT NUMBER
m- co -1,063?
Olt* *9.00
*9.00 N
*9.006
'*000 8
66372
07-03-80
2 • 61t 7 9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
a.7+':+051`-'81'0' • 6 6:3.8 5 *94'0 R. -
DATE ISSUED PERMIT NO. TOTAL
›-
0 -
WHEN
a