1982, 08-26 Permit: 82A-7521 Heat PumpPLAN NUMBER I APPLICATION/PERMIT M I
PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT r -5,Z l
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPE ❑ NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
7
❑ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL El OTHERATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
No. of Dwellings
Req'd.
Recd.
Not Req'd.
WORK
TION
* 1 0
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
DE CRIBE WORK Location (Area)
a
LPuba
FEES COLLECTED
8
VALUATION SOU GAS ELE WATER SEWER USE CODE
1 ri 0 0
LOT
BLOCK
V15ION F
PARCEL NUMBER/S
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
I
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
7 5 Z n
p
OWNE 6j
PHONE
3.
SPECIAL APPROV S SPECIAL CONDITIONS:
. ? tt
NAME DATE
Plan Check
Env. Health
08-26-82
ADDRESS
Planning
Zhu/^•
Actual Set Backs in Feet
Mobile Home
Co. Engineer
Other (Specify)
Utilities
a -.v
North South East West
Plans Examiner
6,1179o
'
CONTRACTOR
P
SEPA Checklist
Zone Classification
0 8 "2'6!'- 8 2
j chn clan PERMIT IS NONTRANSFERABLE
NE��
Size of Parcel
C
01'1
�
4.
ADD SS
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DE ! NER
PHONE
Valuation
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.
7
❑ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL El OTHERATE
No. Stories
No. Rooms
No. of Dwellings
Req'd.
Recd.
Not Req'd.
WORK
TION
DE CRIBE WORK Location (Area)
a
LPuba
FEES COLLECTED
8
VALUATION SOU GAS ELE WATER SEWER USE CODE
O
9. 1UTILI IES ❑
Single $
1 hereby certify that I have read andexamined 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
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construct' SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
� � �
Mech.
DATE OF APPLICATION �✓"-"" SIGNATURE OF APPLICANT
SPECIAL APPROV S SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
a -.v
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN TH
SEPA Checklist
THIS BECOMES A PERMIT.
0 8 "2'6!'- 8 2
j chn clan PERMIT IS NONTRANSFERABLE
S SPACE,
4.
75212 *1400a-Fj- -