1980, 02-21 Permit: 80-1393 Heat Pump, Furnace4-m
PLAN 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 4 COPIESS
JOB ADDRESS
7). 1115
LOT BLOCK
2.
Pd,
.,
SUB VItION
LEGAL DESCRIPTION - SEE ATTACHED _
OWNER e -,'P /tn(D/L
ADDRESS
9PH_ORE
x3,2
ZIP
PARCEL NUMBER/S
Required Set Backs in Fee
North
South
East IWe
CONTRAC
R ESS
DESIGNER
b. ADDRESS
K. LLni cb
IJam 4 LYt,
PHONE
—
Size of Parcel
Zone Classification
c3o
Type Cons
Occupancy
Sprinklered
Oyes ❑No 0 Req'd
PHONE
Valuation
Building Area In Sq. Ft.
ZIP
DWL Area
Basement Area
Garage Are
Storage
CHANGE OF USE FROM
6.
TYPE Y D NEW
7. OF
WORK 0 BLD.
❑ ALT.
❑ PLMB
❑ AD N. I $PL. 0 MVE.
�MECH: 0 M.H. ❑ POOL
0 OTHER
Split Entry
No. Baths
Split Level
No. Floo
No. Room
Rancher
Rec. Room
- CERTIFICATE
of EXEMPTION
Rec'd.
of Req'd.
•
9.
5CRI
LUA
N
p 9-
Source GA
of
Utilitie
U
s
LHC RIC
na c.e
WATER
SEWER
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
performa ce of construction.
DATE �1.Jtlhlr I(—I i IPPO SIGNATURE
DEPT.
SPECIAL APPROVALS '
REQ'D. REC'D.
Env. Health
Planning
File Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS
kt.GQILGtU �C3L�.
DATE SFFICIAL CIA/V"ti1'n
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Bu ilding
•
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $ q
GO
PERMIT NUMBER
C60 Ir2c1-2,
DATE
04*
*9.00
*9,00 N
*9.Q06
*Q00
139.2
02 -21. -EO
2 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
7 *. Q "1,1-_B1 13.9.3 d
*9.0:01°1
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