1980, 09-24 Permit: 80B-803 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
PERMIT NUMBER
Off- 80:3
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 ADDRESS9.0
LEGAL DESCRIPTION — SEE ATTACHED
0 * * 0
LO BLOCK
PARCELNUPaBER/S
2.
ISUBDIVISION
*9,00
OWNERPHONE
6a,4��
A C 0r-0
3.
- 21
ADDRESS
ZIP Actual Set Backs in Feet
78.22
North South East West
CONTRACTOR
PHONE Size of Parcel Zone Classification
09-24-80
6479.
4.
ADDRESS L
ZIP Type Const. Occupancy Sprinklered
zC , a ,s' ,pts
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE ValuatiorT Building Area in Sq. Ft.
5.
ADDRESS
ZIP Main Floor Upper Floors Garage Area Storage
—
CHANGE OF USE FROM
TO
Area of Decks Finished Basement Unfin. Basement
6.
TYPE❑ NEW ❑ ALT. AD'N. ❑ RPL.
�
❑ MVE. No. Baths No. Stories No. Rooms No. of Dwellings
7,
OF
❑ OTHER
❑ BLD. ❑ PLMB. Q MECH. ❑ M.H.
❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION I
DESCRIBE WORK
�
Enum. Dist.
Location (Area) FEES COLLECTED
8. � 4,
VALUATION I SOURCE GAS CTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES Public 11 Private ❑ Single $
1 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 INSPECT UNS Plumbing
I
DATE OF APPLICATION SIGNATURE OF APPLICANT I Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
wanning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
ng Technician PERMIT IS NONTRANSFERABLE
oCDRfiiT CYDIOCC nNC VCAO CDr1NA r%ATF nc lQQllAM1'r
SEPA
Mobile Home
Other (Specify)
TOTAL $ ,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
f194.2 4.-80' 8 0,3z
n ATF ICCI ICrI DCRAAIT Nlrl
*9.00°� -
Tr)TA I