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