1980, 04-18 Permit: 80-3662 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
1.
2.
3.
JOB ACID :SS j / g o ` ^) ^I 1a yV
iotaLOT �Ca SUBDIVISION
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OWNER
ADDR
4..
5.
ES
CONTRACliktho
07rs.
ONE
PCin Lo 203
Z199do
Required Set Backs in Feet
North 'South
East
(West
ADD
DESIGNER
anti?, f`Y'nC
PHONE -
Sas- 235
Size of Parcel •
Zone Classification
PHONE
Type Const.
Valuation
Occupancy
Sprinklered
❑Ves ❑No ❑ Req'd.
Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area I Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
8.
9.
❑ NEW
❑ BLD.
DESCRIBE WORK
VALUATION
❑ ALT.
o PLMB.
AD N. 0 RPL.
MECH: 0 M.H.
Lc 0 iCP
Source
of
Utilities
GAS
❑ MVE.
❑ POOL
0 OTHER
,gLECTRIC
No. Baths
No. Floors
No. Rooms
Rec. Room
WATER
CERTIFICATE
of EXEMPTION
SEWER
Req'd.
I hereby certify that I have read and examined this applica ion and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correc . 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 regting construction or the
performance of construction.
DATE
DEPT.
4 -12 --go
SPECIAL APPROVALS '
REQ'D. REC'D.
SIGNATURE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIALQ:ONDITIONS: •
DATE14111>iissJ OFFICIAL 51U#�QAAAAX3Y\
APPROVED FOR ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
t32•0°
TOTAL $ %•OJ
PERMIT NUMBER
A -W- 3c:6a
DATE 4-171 - 90
04* *9.00
*9.00 N
*9.008
E *Q00 8
3661R•
04-18-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT. -I
p.14:r �1', VQ..8101 3'6 'b' 2 2
>*7.00.2p
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Ca
Ca
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