1980, 09-04 Permit: 80-9573 Heat PumpPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER���
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 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUB I I ON PARCEL NUMBER/S
2.
OWNER r i PHONE
ADDRES�_
ZIP
Actual Set Backs in Feet
North South East
West
CONTRACTOR--
PHONE
Size of Parcel Zone Classification
4' ADDRESS <_. ;
ZIP
Type Const.
Occupancy
Sprinklered
rt'G R /L 7
� % ; e Z-
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE 11 NEW El ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBElW Ik z
,�,'� //
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION
SOUR
G
ELECTRIC WATER,.
SEWER
Ownership
USE CODE
9.
OF
UTILITI S
4"
Public ❑ Private ❑
Single $
1 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
Building
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
Plumbing
DATE OF APPLICATION - �� ` SIGNATURE OF APP LI CAN /L_�'L /�Z_G1G�--
Mach.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buil Te nf ian
l Ted
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home _
Other (Specify)1r�.
TOTAL $
04* *9,00
r
*� 00<<
E 070 a
957229
09-04-80
6474.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
�9-04--80 957.3 *9.0a,° -