1980, 08-11 Permit: 80-8354 Heat PumpLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
/V"-
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1• South 4337 Locurt Road LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER
North South
PHONE
3. Donatd Dinius
Zone Classification
ADDRESS
Snath 4337
Locust Road
Sprinklered
ZIP
CONTRACTOR
❑Yes ❑No ❑ Req'd.
Valuation
PHONE
Pawen.6
Incan mated
OWL Area Basement Area
535-7714
ADDRESS
FaiAt 6507
Matfon Avenue
ZIP
99206
DESIGNER
Rancher
PHONE
5.
No. Baths
No. FloorsNo.
ADDRESS
Rec. Room
ZIP
CHANGE OF USE
FROM
TO
Req'd.
6.
Not Re(
of EXEMPTION
TYPE ❑ NEW
❑ ALT. IN AD'N. ❑ RPL.
❑ MVE.
7
[I OTHER
1:1BLD.
ElPLMB. Ig MECH; ❑ M.H.
11POOL
WORK
DESCRIBE WORK
Required Set Backs in Feet
North South
East West
Size of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
OWL Area Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. Baths
No. FloorsNo.
Rooms
Rec. Room
4
CERTIFICATE
Req'd.
Recd.
Not Re(
of EXEMPTION
B FEES COLLECTED
VALUATION Source G S ELECTRIC WATER SEWER
of
�. Utilities
Single $
hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
)n reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
:ype of work will be complied with whether specified herein or not. The granting of a permit does not presume
:o give authority to violate or cancel the provisions of any other state or local law regulating construction or the
Plumbing
performance of construction.
DATE SIGNATURE— Mech. n n
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Penmit
Co. Engineer Other (Specify) 3 , 00
Utilities
Zone Clearance
SEPA Checklist
PERMIT NUMBER
o - 63,54-1
DATE Auqu,6t 8. 1980
*9,00
*9.00"
A *0i
`35,33
647q
TOTAL $ A n n
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE 0FF
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CD
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