1982, 12-14 Permit: 82B-1892 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 A ...9q /
LOT BLOCK" SS UBDI VIFI—SoII'f/
2.
ti
L'EGA&'DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
3. oar,
X.:,f.d�n�
ADDRESS
CON1t ACTOR '
5.
ESS
GNER
•
PHONE
i,‘,'v v 3S—
Pe3a-ii co
Actual Set Backs in Feet
North 'South
East (West
PHONEME &)e91ze of Parcel l Zone Classification
/fl -J, 7 J
PHONE
Type Const.
Occupancy Sprinklered
❑Yes ONo 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
7. OF
WORK8. ((j
DESCRIBE WO , , / 1iF I { t //�� /
❑ NEW
O BLD.
O ALT. �00AAD N. 0 RPL.
❑ PLMB. /LSI MECH. 0 M.H.
0 MVE.
' 0 OTHER
0 POOL
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
X
. No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not Req'd.
WATER
SEWER
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
hereby certify that 1 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
it does not presume
g consyructiep or the
type of work will be complied with whether specified herein or not. The g
to give authority to violate or cancel the provisions of any other state or lo
performance of construction. EE REVERSE SIDE FOR REQUIRED INSPE'1r
DATE OF APPLICATION //1
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Iding�echnicy
SIGNATURE OF APPLI
SPECIAL CONDITIONS:
tS
ing of a
law regul
ONS
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. ifo
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$oD
PERMIT NUMBER
04* *14.00
*14.006
A *000 8
189,1''2
12-14-82
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES:
A PERMIT.
DATE ISSUED PERMIT NO. TOTAL
1'8.9;2:5 1,40:O1u�.