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1982, 03-02 Permit: 82A-1397 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. . C Zrn,rGtri LOT BLOCK SUBDIVISION 2. LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S OWNE / / 3. eHr: !� f7w'7` -.v ADDRESS €— PHONE ZIP Actual Set Backs in Feet North ISouth East 'West CONTRACTOR 4:�JGr rxrce—"es, ADDRESS /RY .esIrt DESIGNER 5. PHONE 72Z61.Sn ZIP 79za / PHONE Size of Parcel Zone Classification Type Const. Occupancy Sprinklerod ❑Yes ❑No ❑ Req'd. - Valuation Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors I Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Area of Decks Finished Basement Unfln. Basement ❑ NEW 0 ALT. /�}r D N. 0 RPL. I] MVE. ❑ BLD. 0 PLMB. £MECH. 0 M.H. 0 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. tvc ee-4 mit Enum. Dist. Location (Area) VALUATION 9. SOURCE OF UTILITIES GAS ELHCTRIC WATER 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 z-rz SIGNATURE OF APPLIC ✓btu j2R�/ 4fl/C/ SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Bu IRI Tee nle{att SPECIAL CONDITIONS: �a,t45 ,4ect-J %� „, t t, 614//t --€f1 PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA - Mobile Home Other (Specify) TOTAL /4D0 $ /r PERMIT NUMBER S2.& ' 13cfl 04* *14.00 * 1 a.U0 in * 14.008 A *000 139.61 03-02-82 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 051, :iO%2 78 2' 1'3'9.72 *1''4,0;0 - DATE ISSUED PERMIT NO. TOTAL