1982, 09-20 Permit: 82A-8387 Heat Pump, FurnacePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3•COPIES
JOB ADORES
LOT
2.
0/l.� f/// / / ,
i(-(_
AD
LOCK
5/9 ahte2-
SUBDIVISION
5.
DESIGNER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/5
727-4/76r
SeL cw-jef,
PHONE
Actual Set Backs in Feet
North South East IWest
Size of Parcel 1 Zone Classification
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
Unf in. Basement
TYPE 0 NEW
7. OF
WORK 0 BLD.
8.
9.
ESC»te 61 W
VALUATION
O ALT. l�❑AD N. 0 RPL. O MVE.
ry,
❑ PLMB. .cV MECH. 0 M.H. 0 POOL
SOURCE
OF
UTILITIES
GAS
ELFC/,RIC
0 OTHER
WATER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. , I 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 r, gulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION /7.-- SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
dI Tec nl Ian
•
SPECIAL, CONDITIONS:
PERMIT IS 'NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Reed.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
JO Do
04* *19.00
*19.008
A *0.00
83862
09-20-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
019
'DATE ISSUED
•r
83,8.72
PERMIT NO.
1* 1, 9 8 p04,kL
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C.)
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