1980, 04-28 Permit: 80-4009 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
1s
LEGAL DESCRIPTION - SEE ATTACHED
1.
2.
pg?,(2. l�U-x
3 owrA�,a/UAU
ADD J S
'5 3-959
PARCEL NUMBER/S
q9ao
Actual Set Backs in Feet
North 'South East 'West
CONTR
4' AD
00-
PHONE _Size of Parcel Zone Classification
DESIGNER s�
5' ADDRESS
1;69a0:2
PHONE
Type Const.
Occupancy
. Sprinklered
❑Yes ONo 0 Req'd.'
Valuation I Building Area in Sq. Ft.
ZIP •
Main Floor
Upper Floors I Garage Area ,
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfln. Basement
TYPE . ❑ NEW
7. OF
WORK 0 BLD.
DESCRIBE
8.
VALUATION
9.
❑ ALT. AD N. ❑ RPL. ❑ MVE.
❑ PLMB. MECH. 0 M.H. 0 POOL
SOURCE
OF
UTILITIES
GAS
L CTRIC
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
Req'd.
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
,p/ �h�)
DATE OF APPLICATION 7 - SIGNATURE OF APPLICAN'1�{^"' "`� /�' -
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engine°
Utilities
Plans Examine
SEPA Check!
SPECIAL CONDITIONS:
FOR GAS APPLICATIONS
PIPE SIZES
PIPE LENGTHS
BTUS
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Recd.
Not Req'd.
'FEES COLLECTED
Single $
Building
Plumbing
Mech. 4)u
Plan Check
0'19
J
SEPA
Mobile Home
Other (Specify)
TOTAL
$ a b
M
PERMIT NUMBER
L — ./009
04* *9.00
*9.00 15
*9.0015
E *GOO
40082.
04-28-80
6479
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
I' 1
1)'4f :12'B.'� X10
DATE ISSUED
4'00.9 z
PERMIT NO.
*9.00Da�
TOTAL
0 -