1981, 11-12 Permit: M81B-1722 Heat Pump•
PLAN 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
JOB ADDRESS
1.
LOT B(/K. SUBDIVISION
2.
3.
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
ELVA CLOSE
PHONE
PARCEL NUMBER/S
ADDRESS
Noxth 1112 ObeAtin
4.
CONTRACTOR
POWERS, INCORPORATED
ADDRESS
Rood
ZIP
99206
Actual Set Backs in Feet
North (South (East 'West
PHONE
535-7714
Size of Parcel 1 Zone Classification
Ea.3-t 6507 MaUUon Avenue
ZIP
99206
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation (Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
18:1 AD'N.
fitj MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. 1pi, t, P..P bya pump t ELECTRIC �r,:Lem
VALUATION SOURCE GAS ATER
OF
9. UTILITIES
Enum. Dist. Location (Area) '
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 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 REVERSE SIDE FOR REQUIRED INSPECTIONS
S.'SJC.'"4X5
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buildin Tec
SIGNATURE OF APPLICANT
ECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
DCRMIT CVDIDCC AMC VC AD CDAM Wert !IC (CCI IAN!`=
FEES COLLECTED
Single $
Building
Plumbing
9$1 .,
Mech. —6--6-0-
Plan Check
SEPA
Mobile Home
Pe/unit
(Specify) 10.00
TOTAL $ 1 % 00
PERMIT NUMBER
Sia—
04* *16,0
• 1 4 00
* 14.0 0_.
A *0,o
17 2. 1
11-12-81
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11412-81
IlA C ICC(ILI,
172.25 *14.00aJ —
C
u
u