1980, 05-07 Permit: 80-4408 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 ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
1. 4o l02 % //- J-)
OWNER
3.
ADDRES
CONT6TA
4. ADDRESS
DESIGNER
5. ADDRESS
R
O
CHANGE OF USE FROM TO
6.
L
PHONE
ZIP
Actual Set Backs in Feet
North South East West
PHONE r�
- C
Size of Parcel
Zone Classification
g
Type Con7
Occupancy
Sprinklered
Dyes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
Area of Decks
Finished Basement
Unfin- Basement
OF�/ ✓ Public El Private El9. UTILITIES -)(—
Single $
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 Building
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 REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
fIATF f1C ADDI Ir`ATI(lrl \�' CIrNlAT11RC nr AD I(`AKIT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE OR GAS APPLICATIONS
Env. Health
PIPE SIZES
Planning
Fire Marshall PIPE LENGTHS
Co. Engineer BTUS
Utilities
Plans Examiner
SEPA Checklist
uil h ician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
*9.00
*9,00
*9.0061
E *000
440.7
05-0780
2 6.479.
TOTAL $ q , C)y1
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
D5-0 440,82
DATE ISSUED PERMIT NO.
k9.D 0" -
TOTAL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE El NEW El ALT.
AWN. El RPL.
❑ MVE.
7, OF
ElOTHER
1:1 BLD. EJPLMB.
MECH. ElM.H.
El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
8
VALUATIOW
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
OF�/ ✓ Public El Private El9. UTILITIES -)(—
Single $
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 Building
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 REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
fIATF f1C ADDI Ir`ATI(lrl \�' CIrNlAT11RC nr AD I(`AKIT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE OR GAS APPLICATIONS
Env. Health
PIPE SIZES
Planning
Fire Marshall PIPE LENGTHS
Co. Engineer BTUS
Utilities
Plans Examiner
SEPA Checklist
uil h ician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
*9.00
*9,00
*9.0061
E *000
440.7
05-0780
2 6.479.
TOTAL $ q , C)y1
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
D5-0 440,82
DATE ISSUED PERMIT NO.
k9.D 0" -
TOTAL