1981, 02-09 Permit: 81A-1964 Heat pumpPLAN NUMBER I APPLIC SON/PERMIT
J SPOKANE COUNTY -- ,'4LDING 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
LOT B O K IVISI PARCEL NUMBER/S
2.
OWNER PHONE
3. %JG_ S
ADDRESS ZIP Actual Set Backs in Feet
North South East West
CONTRAC O , PtJONE Size of Parcel Zone Classification
ru rr OL -&A tilC
4. ADDRESS ( ZIP Type Const. Occupancy Sprinklered
G C� �i— �- ❑Yes ❑No ❑ Req'd.
DESIGNER 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
s.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
%, OF ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL ❑OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE Enum. Dist. Location (Area)
8. �. FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑ Private ❑ Single $
1 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
DATE OF APPLICATION _ ' 9 R' SIGNATURE OF APPLICANT 1 Si. Y g,Z Mech. 1 ��
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Fire Marshall
neer
Utilities
Plans Examiner
SEPA Checklist
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR- FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
TOTA L $
PERMIT/ NUMBER
6�y
04* p14.�G
*1G,Uv
N * (1
!i 3
6470
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
�1 19642
DATE',ISSI)ED PERMIT NO.
*1400aj -
TOTAL
L