1980, 08-19 Permit: 80-8743 Heat PumpPLAN NO.MBER
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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 fZLW
DDRR ES
LOT
$UBDI 51ON
//,•.IV1SIOi None - e? - a2P£�t19eR£Q
LEGAL DESCRIPTION — SEE ATTACHED
3
4.
5.
OWN R
Q %'72A+1LC. eOA)/C cm)ADDRESS
CON/7(0019 'wilt v"219).
RACTOR
Ste/as/ s FA")
Anna V Geon
DESIGNER
PHONE
PARCEL NUMBER/5
ZIP
Required Set Backs in Feet
North 'South East
'West
PH NE
�.26-yVR
ZIP
192o6
PHONE
Size of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area I Basement Area
Garage Area.
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
7.
TYPE
OF
WORK
❑ NEW t< AD N.
❑ BLD. MECH
D FSf4RIBEK
8. LAKr�/kW J
VALUATION Source
ce
9. c.CROO
Utilities
or
❑ ALT.
O PLMB
❑ RPL.
❑ M.H.
O MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
GAS
ELECTRIC
PC
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 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.(�
DATE 8- /Q - 9ucSIGNATURE ILPif14���
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning.
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
. SEPA
Mobile Home
Other (Specify)
TOTAL
/3°Q
$ /3BO
DATE
' I
PERMIT NUMBER
04* *13.00
*1300 tis
*13006
E *Q00
87Q2g
08=19-80
2 6479.
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS CO E MIT. 1
���' 1 i 8:7'4'3 = 413, 0 0.2.•�
CC
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