1980, 06-18 Permit: 80-5948 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
/lqi f/ -%Yiax u
LEGALDESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
3
4.
5.
OWNER
'Mr. ' /l7rs.
ADDRESS
CONTRACTOR
ADDRESS
DESIGNER
Ala VS
PHONE
ZIP
AE �/(�S
- ozz
79ao7
PHONE
ADDRESS
ZIP
Actual Set Backs in Feet
North ISouthEast 'West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Ves 0No 0 Req'd.
Valuation Building Area in Sq. Ft.
Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement,
Untin. Basement
7.
8.
TYPE
OF
WORK
O NEW
O BLD.
DESCRIBE WORK
O ALT.
O PLMB.
AD N. 0 RPL. 0 MVE.
MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Req'd.
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
EL�� ^CCT,R�IC
t
WATER
SEWER
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 INSPECTIONS u ,, �/f
DATE OF APPLICATION /9 40 SIGNATURE OF APPLICANT Nom/ ,�a// `J
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Plann
ng
Fire Marshall
Co. Enginoe
Utilities
Plans Examiner
SEPA Checklist
Bu ng T
FOR GAS APPLIANCES
PIPE SIZES
PIPE LENGTHS
BTUS
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech-
Plan Check
SEPA
Mobile Home
Other (Specify)
3 UL
treo
TOTAL $ q'j
PERMIT NUMBER
04* *9.00
*9.00
*9,006
B *000 a
59472
06-18.-80
B 6479.
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.j
ra; dila', :!81a
DATE ISSUED
5.9148 '1 *9. O O.?. -
PERMIT NO. TOTAL
r
0 -