1983, 08-31 Permit: 83A-8416 Heat PumpPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMUEa1T OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1. STREETcain// E
LOT I BLOCK
2.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
UUDIVISION
MAILING ADDRESS
CQotI lz EXPIRES/
TR�lt-�L •"U%� LICENSE
2'"7'
tc -3!3
qIN -019S-
19c (0
PHONE Xa
PARCEL NO.
LEGAL DESCRIPTION:
Actual Set Backs In Feet to•
North I South
{East
West
Sim of Parcel
Zone Classification
Residential 0
Commercial 0
1:5M afr2a7
DESIGNER
5.
4R
Type Const.
Occupancy
Spr nklered
UVes DNo DReq 'd
PHONE
New Const. Valuation
Remode ed Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv Deck
Fin. Basement
Unf in Basement
TYPE 0 NEW 71ALT. 0 AD' N. 0 RPL. (11 MVE.
7 OF WORK, 0 BLD. 0 PLMB. I�MECH. 0 M.H. 0 POOL 0 OTHER
No. Baths
No Floors
No. Fin. Rooms
No. Dwellings
Certif 1. of Exempt.
or Variance
Required Yes❑ No❑
Received VesO No❑
Number
8. DESCRIBE WORK
SEWAGE
SEPTIC 0
SEWER 0
VALUAfION
9.
Shorelines/Flood Hazard
YesD Not Aeolic. 0
Plans Required 0
Received 0
SOURCE
OF
IITILITI ES
I
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 au-
thority 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 INSPECTIONS
SIGNATURE OF ��AA e,,�� t APPLICATION i1 / _ h
OWNER OR AGEN�'Q�/ f L/`r DATE t�C-Fn /"1
SPECIAL APPROVALS SPECIAL CONDITIONS: EE RE ERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
Ownership
Public 0 Private 0
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
sAk
40.art_co
PERMIT IS NONTRANSFERABLE •
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL 9
PERMIT NUMBER
sem— 84 I(t,
04* *14,00
*14,006
A *0.00
841.52
08-31-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-311-8'3
DATE ISSUED
84L6z *14.0000
PERMIT NO. TOTAL