1982, 06-22 Permit: 82A-5279 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.
2.
3.
LOT
BLOC
K DIV SION L 72.4
wntfr\_
ADDR E$S / 7
CON RA CTOR
4.
D
DESIGNER
5.
LEGAL DESCRIPTION - SEE ATTACHED
HONE
�o(5,. 7.7
ZI P
Gjllo)"ak
''P//H//O�NEfAJ
7
YX`7'/, 7C)
PARCEL NUMBIIi/S
Actual Set Backs in Feet
North 'South East (West
Size of Parcel Zone Classification
t.2 7d
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE'OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE 0 NEW
7. OF
WORK 0 BLD.
0 ALT. 0 AD N. 0 RPL.
0 PLMB. ..MECH. 0 M.H.
0 MVE.
0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE W K di,tilted
8.
VALUATION SOURCE
OF
9. (UTILITIES
GAS
Enum. Dist.
Location (Area)
ELECTRIC
WAT
SEWER
Ownership
Public 0 Private 0
USE CODE
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
type of work will be complied with whether specified herein or not. The gr ting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or loc: law regulatin construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPE> IONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Ing Tech clan
SIGNATURE OF APPLI
SPECIAL CONDITIONS:
x,500 t7-Gc
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing �,J/
Mech. / / C�
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
171,
PERMIT NUMBER
27-A- - 52 a
04'* * 1 400
*14.006
A *Q00 S
52282
06-222'-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
1 1 •
5'21292 *14000
h -
PERMIT NO. TOTAL