1982, 07-15 Permit: 82A-6063 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 ADDR S
LOT
2.
LOCK
OD9
SUBDIVISION
3.
5.
6.
OWN�iS ,, �{ v
! ESS
AD / ,/7--140
CON CTO`R //n,�'
4/` (92 /1(27,40r CN
ADFjAE,3Z9/9
DESIGNER
ADDRESS
CHANGE OF USE FROM
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S
Actual Set Backs in Feet
North 'South
East
'West
377-,7r
Size of Parcel
Zone Classification
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes DNo 0 Req'd.
Valuation . I Building Area in Sq. Ft.
ZIP •
Main Floor • Upper Floors ( Garage Area
Storage
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE 0 NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
7. OF
WORK 0 BLD.LD,�/J0 PLMB.V_�M�E//CH. X00 M.H. 0 POOL"
8.
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
Enum. Dist.
Location (Area)
ALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
ATER
SEWER
Ownership
Public 0 Private 0
USE CODE
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
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 REVERSEJSIDE FOR REQUIRED INSPECTION
on
DATE OF APPLICATION / 9—a SIGNATURE OF APPLICANT �n
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
perlinggcnnician_
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check'
SEPA
Mobile Home
Other (Specify)
TOTAL
$
GYJ
PERMIT NUMBER
/1.1$'--6 0. 02 j
04* *14.00
*14006
A '*0.00 8
606.2A
• 07'-15-82
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THISBECOMES A PERMIT.
07,71'571' 2! - 6'06,1rr3z' *:4'00.2 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED .
PERMIT NO. r TOTAL
›-
0-
U.! 0.
0
0
J
ri