1980, 12-19 Permit: 80B-5088 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. OEr /o319 lioLeMA, i2A•
LOT BLOC SUBDIVISIO
2.
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
3
M l k C M c G kawrg
PHONE
ps 70 1
PARCEL NUMBER/S
ADDRESS
E //So7 90
CONTRgCTOR /
4. AA%it.P s e.0 s 1/7-g" k
5.
A DRESS
/ MI /S /Gr•
DESIGNER
ADDRESS
ZIP
PHONEpp
/x G�
r-6760
Actual Set Backs in Feet
North 'South East 'West
Size of Parcel Zone Classification
Type Const.
Valuation
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
ZIP
Main Floor
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
Building Area in Sq. Ft.
Upper Floors Garage Area
Area of Decks
Finished Basement
Storage
Unfin. Basement
iNEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
0 BLD. ❑ PLMB. L] MECH. ❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
R ec'd.
Not Req'd.
DESC IBE WORK
8. .eat PIA
VALUATION
9.
otc weJ
Enum. Dist.
Location (Area) FEES COLLECTED
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
Ownership
Public O Private 0
USE CODE
SingIe $
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
Mech. 41/3- Ira
DATE OF APPLICATION /a //i /to o SIGNATURE OF APPLICANT
SPECIAL APPROVALS f SPECIAL CONDITIONS:
e - NAME DATE
Env. Health .
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
$EPA Checklist
i (ding Tem
441a 6,e0
Pact Si. au
3..'o
/3.uo
PERMIT IS NONTRANSFERABLE •
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
M
PERMIT NUMBER
bas -- 508°
04-* *13.00
*1300 rn
*13006
A *000
50872
1 2-1 9'-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1216 ,1!,4;'8 01
DATE ISSUED PERMIT NO. TOTAL
5i0 231, * 13.0 0 g