HomeMy WebLinkAbout1980, 01-15 Permit: 80-270 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
JOB ADDRESS
a QO . X11 oetn
LEGAL DESCRIPTION - SEE ATTACHED
LOY
2.
BLOCK
SUBDIVISION
3
ONE
as -'7491
ZIP
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South `East 'West
CONTRACTOR
4. nooks
PHONE
3a s W505
ize of Parcel 1 Zone Classification
149x07
Type Const.
Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation 1 Building Area 1 Sq. Ft.
ADDRESS
ZIP
OWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE 0 NEW
7. OF
WORK 0 BLD.
TO
Split Entry
Split Level
Rancher
❑ ALT. r�,'lrf-d�D AN. 0 RPL. 0 MVE.
❑ PLMB. IfCMECH: 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
• No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
8.
DESCR E WORK
66 On
IOGAS
9.
VALU N
* r9
Source
of
Utilities
WATER
SEWER
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 correc . All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or n. 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.
DATE /- /S v� SIGNATUR
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIA CO CATIONS:
DATE C2-30 OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
�, 00
Mech. Lq :OD
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $4.00
.4M _
DATE '' Io 20
PERMIT NUMBER
cb o a1 O
04*
*9.00
*900 L
*9.006
E *000
2692
01-15-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0II+1`5:=VD' 27.05 *9,0 0E
CC
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