1980, 08-11 Permit: 80-8368 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
2.
JO$,A DDRESS
LOT H SUBDIVISION
LOCK
LtyGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
3. OWnRetA4iteCna pfr'Jte2A4 z
ADDRESS /
PHONE
926-715V
'TM2,6
Actual Set Backs in Feet
North 'South
East 'West
CONTRACTOR,ry
4. , d j ei.CL n °'
5.
AD RSSCS/ 1 -e-nf
DESIGNER
PH Size of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS •
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
7.
TYPE
OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
le..10.N. N. ❑ RPL.
0 MECH. 0 M.H.
DESCRI RK /•1
8. T(]ry
❑ MVE.
0 OTHER
0 POOL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Req'd.
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
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 heiein 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
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities ,
Plans Examiner
SEPA Checkl
ng Tec nician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Recd.
Not Req'd.
FEES COLLECTED
S'ngle $
Building
Plumbing
010
Mech. •/
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
-8'%
04* *9,00
*900 175
*9.00,5
A *Q00
83672
08-11-80
S 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ti 1:;:,
�' e o;
DATE ISSUED'
FERMI -0i n3CO,, 8 Z
*9. 0:9:7'. F