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