1982, 10-11 Permit: 82A-9321 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WAtHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3.COPIES
JOB ADDRESS '
1. 4l LZ�
LOT BLOCK SUBDIVISION
2.
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
3.
OWNE
ADDR St
J�JJ���C.w�
firfrnAycitiL
PHONE
ZIP
Actual Set Backs in Feet
North (South [East 'West
4.
5.
CONTR CTOR
ADDR l Sa-'f N A M-
DESIG ER
PHONE
ZIP
Size of Parcel Zone Classification
Type Const.
Occupancy
Sprinklered
Oyes DNo 0 Redid.
PHONE
Valuation ,1 Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Oecks
Finished Basement
Unf in. Basement
TYPE tr NEW
7. OF
WORK 0 BLD.
O ALT.
O PLMB:
DESCRIB RK
8.
VALUATION SOURC
OF
9. UTILITIES
0 AD N. 0 RPL. 0 MVE.
2–MECH. 0 M.H. 0 POOL
GAS
ECTRIC
WATER
0 OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
Req'd.
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 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 INSPECTIOI�IS
DATE OF APPLICATION //0/' (eft— SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Recd.
Not Redid.
FEES COLLECTED
Single
Building
Plumbing
-3t � oco
r•
_ w
PERMIT IS NONTRANSFERABLE
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ I
PERMIT NUMBER
e ' —932
04+ *14.00
*14..006
A *000 0
93208
.10-11-82
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1;0 "0,Il'¢` 8 21
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED' j,
9;3,21 z *14.0 0 a ,
PERMIT NO. TOTAL
d
O
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