1980, 04-01 Permit: 80-2932 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 4 COPIES
JOB ADDRESS hc al (. filaAA3
LEGAL DESCRIPTION SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
AD
DRE2ir
�„J3ADDRES,//�1��.]UQ^/y-
PHONE
ZI
-0as
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South East 'West
5.
CONT ACTOR
n\3
A
doh A
DESIGNER
PHONE Size of Parcel • Zone Classification
Sas iscC
PHONE
Type Const.
Valuation
Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area I Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
r
TYPE 0 NEW
7. OF
WORK 0 BLD.
TO
Split Entry
Split Level
Rancher
❑ ALT.
O PLMB
DESCRIBE WORK
8.
VALUATION
9.
❑ AD N.
❑ MECH
❑ RPL.
O M.H.
,t&P
GAS
Source
of
Utilities
0 MVE.
0 OTHER
❑ POOL
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE -
of EXEMPTION'
Req'd.
Rec'd.
Not Req'd.
ELECTRIC
DC •
WATER
SEWER
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 authority to violate or cancel the provisions of any othe9rrstate or local law rr ulating construction or the
performance of construction.`
DATE 3 -al -70 SIGNATOR
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPE
CONDITIONS:
DATE /j OFFICI
APPRO OR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ Ci'e°
PERMIT NUMBER
go- 2 c _
DATE 3 I —Co
04*
*9.00
*9.00
*9.006
*Q00 8
293.12
04=01.80
2 6479.
WHEN MACHINE VALIDATED IN THIS SP(A�CE, a * 0.,0
a
THIS BECOMES A 9 J PERMIT. G z
�.;44.f111_ 8 p.