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1980, 11-18 Permit: 80B-3893 Heat PumpPLAN NUMBER c) 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 2. 3. LOT BLOCK oa MOLL) DI ION LEGAL DESCRIPTION - SEE ATTACHED CONTRAC OR 4. •`i-t.k,RAaft- . ADDRESS PHONEq ga [- (a-7 (0 PHONE PARCEL.NUMBER/S 4 Actual Set Backs in Feet North 'South East 'West Size of Parcel 1 Zone Classification Type Const.' Occupancy Sprinklered Oyes 0No 0 Req'd. 5. DESIGNER PHONE Valuation Building Area In Sq. Ft. ADDRESS ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK 8. 9. TO Area of Decks Finished Basement Unf in. Basement ❑ NEW O BLD. DESCRIBE WORK VALUATION O ALT. ❑ PLMB. � M -CAD N. ak/J MECH. ❑ RPL. O M.H. SOURCE GAS OF UTILITIES ELECTRIC O MVE. O POOL WATER 0 OTHER SEWER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Enum. Dist. Location (Area) Ownership Public 0 Private 0 USE CODE 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 other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT! S DATE OF APPLICATION t rr1-sk) SIGNATURE OF APPLICANT C2arn-Qt. a7'c--)245"- Req'd. SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utihtles Plans Examiner SEPA Checklist BaTechnician A SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE Recd. „ Not Req'd. • FEES COLLECTED' Single $ Building Plumbing Mech. cab Plan Check SEPA Mobile Home Other (Specify) TOTAL $ eo ri PERMIT NUMBER �v -?.39� 0.4* *9,00 *9.00 *9.006 A *0.00 8 389.2 11-18-80 ' ,2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1 i1jt:'1;�8�8�0 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 318'9'3'Z, * 9.0'0 a I- PERMIT NO. TOTAL 0 0 U