1981, 04-07 Permit: 81A-3206 Heat PumpPLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
c # J
JOB ADDRESS
/
LEGAL DESCRIPTION - SEE ATTACHED
1. , 13 j a Aare zc-
LOT
BLOCK
BDI I ON
PARCEL NUMBER/S
2.
I
*i60.3
N; � n r e�
"
v
OWNER /
_ M 4 C 'c--:; dei k I- f �e .1—
3. �
PHONE
�� _. d 415
ADDRESS
�L—
ZIP
Actual Set Backs in Feet
f
�U 4/• �Y J
�"���
North South East West
0 p 7 _ F 1
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
,a&
�' . 6 `i 9,
4.
ADDRESS
Z�PG
Type Const.
Occupancy
Sprinklered
/
'r' 42 10 /-
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
_
5. ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE El NEW 1-1 ALT. El AD'N. El RPL. El MVE.
7, OF ❑ OTHER
El BLD. 1-1PLMB. 1-1 MECH. ❑ M.H. 1:1 POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK Enum. Dist, Location (Area)
./' FEES COLLECTED
- s y, v /-/-- �
8 A U(9 + y � ,
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership
OF
9. UTILITIES Public ❑ Private ❑Single $
I I I
I hereby certify that I have read and examined this application and have read the "NOTICE" provisio
_
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances goBuilding
Inuded
type of work will be complied with whether specified herein or not. The granting of a permit does
to give authority to violate or cancel the provisions of any other state or local law regulating construperformance
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 1 '" 3/ .- � I SIGNATURE OF APPLICANT c.y Mech.
r
SPECIAL APPROVALS SPECIAL CONDITIONS: 1-41,
NAME DATE Plan Check
Env. Health
SEPA
>-
n..
Planning
O
Mobile Home
ALJ
J
Fire Marshall
LL-
iCo.
Co.Engineer Other (Specify)
Utilities
TOTAL $ �L1�
Plans Examiner
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THIS BECOMES A PERMIT.
Building hnician� PERMIT IS NONTRANSFERABLE :0 �4ji-+� 0'7--''8'l
3 2 Q 6 z - * 1 b, �.D.(L.� -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO. TOTAL