1980, 07-02 Permit: 80-6594 Heat PumpPLAN NUMBER APPLICATION/ PERMIT
K9:661 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 xle/
a— ! LEGAL DESCRIPTION — SEE ATTACHED
LOT BLO KISUBL)l I ON PARCEL NUMBER/S
2.
OWNER T PHONE _ -73. r /7J 7�f/
ADDRESS / ZIP Actual Set Backs in Feet
North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
a. -s7l�o
ADDRESS ZIP Type Const.cupancy Sprinklered
'3 du OcDyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE. aths No. BNo. Stories No. Rooms No. of Dwellings
❑
], OF 1-1 OTHER
WORK ElBLr�a, 1-1PLMB. C�MECH. ❑ M.H. El POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 , .c4 / 14 r FEES COLLECTED
VALUATIO SOURCE �` GAS ELECTRIC WATER SEWER Ownership USE CODE
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 REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
r)ATF OF: APPI ICATIr)rl /S �:—?C/ — X 15 IQInKiA71IRG (IF APPI Ir Ar11 /S f'%i P///.C/ �L/OL Mech.
SPECIAL APPROVALS
NAME DATE
nv. Health
Planning
Fire Marshall
o. Engineer
s Examiner
SPECIAL CONDITIONS:
n PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
41 PERMIT NUMBER
M_C6(m5
04* *9.00
*9,00
*9.000
B *0,00
659,3
07-02-80
R 61479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t 141~ 0 '2 8 'O 6 5.9.4 z
DATE ISSUED PERMIT NO.