1980, 07-28 Permit: 80-7747 Heat PumpPLAN NUMBER
02
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
2.
3
4.
5.
JOB ADD ESS
LOT
D canacu., Pd.
LEGAL DESCRIPTION — SEE ATTACHED
BLOCK
SUBDIVISIO
•
ADDRESS
ztNci
PARCEL NUMBER/5
Actual Set Backs in Feet
North 'South East 'West
Size of Parcel Zone Classification
315- 27/AzA—
PHONE
PHONE
Type Const.
Occupancy
Sprinklered
Oyes DNo 0 Req'd.
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE
7. OF
WORK
0 NEW
A
❑ BLD.
0 ALT.
❑ PLMB.
DESCRIBE WORK
8.
VALUATION
9.
SOURCE
OF
UTILITIES
AD N. 0 RPL. 0 MVE.
MECH. 0 M.H. 0 POOL
D
GAS
ECTRIC
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
'CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
Enum. Dist. I Location (Area)
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 INSPECJ-QNS
DATE OF APPLICATION 9— Qf 8a SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Healt
arming
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
FOR GAS APPLIANCES
PIPE SIZES
PIPE LENGTHS
BTUS
PERMIT IS NONTRANSFERABLE
r/r kd%f'r l
FEES COLLECTED
Single $
Building. '
Plumbing
Mech. 3' liC
Plan Check Lt' ya
SEPA
Mobile Home
Other (Specify)
TOTAL
Irc'RNVT NUMBER
f�
W —77&'7
04* _ *9.00
*9.00
*9.000
E *Q00 8
77462
07-28-80
A 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
77'47 z, *9.00a.e —
PERMIT NO. TOTAL