1980, 12-04 Permit: 80B-4443 Heat PumpAPPLICATION/ 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
1. 11 /.-? �/((�, ,0J�»% M L('G-, LEGAL DESCRIPTION —SEE ATTACHED
OWNER
Actual Set Backs in Feet
�'�
North South
3.
t _0
ADDRESS
CONTRACT
A
Occup
LIQ ZC
4' ADDRESS
.ry.J
ASA—,
DESIGNER
Z((yy//����//��
Actual Set Backs in Feet
�'�
North South
PHONE
Size of Parcel
ZI
Type Const.
Occup
PHONE
Valuation
Zone Classification
ncy Sprinklered
Dyes ❑No ❑ Req'd.
Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors I Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement I Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ N£W ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK 1:1BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
s.
VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership
D USE CODE
OF C ❑ Private ❑
9. UTILITIES — 1, Public
Single $
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 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 REVE%RSE SIDE„y FOR REQUIRED INSPECT NS/} y /j//sJnC Plumbing lj
IIA-- A.I]11(�A TI/lAl � /V �I!'��I A TI I O C -I AI]!ll I/'.A SIT //A�// ' "�/_ � Mech
f./
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
tnv. meaun
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
MC�
Plan Check AJ
SEPA
Mobile Home
Other (Specify)(}{
TOTAL $�_
LRMIT NUMBER
m '668 -- 3
9 Ci
00
*�l0
444 c
12-04-80
0
6, 7 9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 1 ?i-$ �'-;,'8 4�' 4'4 4 3 z * 9..0:0 R F
/l & ” 'l