1982, 09-21 Permit: 82A-8480 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
1. "7 G—' LEGAL DESCRIPTION — SEE ATTACHED
PERMIT NUMBER
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OWN
PHONE
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3.
Plan Check
ADDRESS ,
ZIP
Actual Set Backs in Feet
SEPA
c
C
G
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
:). Engineer
tilities
04* *14.00
* 1 4, 0 Y
4.
ADDRE S
ZIP
Type Const.
Occupancy
Sprinklered
=PA Checklist
PERMIT IS NONTRANSFERABLE
❑Yes ❑No 1-1 Req'd.
A * 0, 0 0
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
8 4 7. 9
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
09-2 1 -82
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6•
6479,
TYPE 1:1 NEW El ALT. F-1 AD'N. ❑ RPL. MVE.
❑
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
WORK
of EXEMPTION
I
DESCRIBE W IQ Enum. Dist. Location (Area)
FEES COLLECTED
8. I
VALUATION SOURCE GAS CTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑ Private ❑
Single $
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
Building
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 SIDE FOR REQUIRED INSPECTIONS Plumbing
rREVERSE
DATE OF APPLICATION C� —` r SIGNATURE OF APPLICANT ch.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
iv. Health
�Yl
SEPA
c
C
G
anning
Mobile Home
Other (Specify)
L
L
re Marshall'
:). Engineer
tilities
TOTAL $
ans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
=PA Checklist
PERMIT IS NONTRANSFERABLE
O'�'1�-'8.Z. 8 8, QE
*1.4.000 1 4 Q Q 4. F'
ec nic n {
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
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