1980, 10-27 Permit: 80B-2731 Heat PumpPLAN NUMBER
PHONE
Size of Parcel
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
4. ADDRESS
ZIP
z;,"o
Type Const.
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
Sprinklered
❑Yes ❑No ❑ Req'd.
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
5.
��e
C
LEGAL DESCRIPTION - SEE ATTACHED
1.�e/Ks
ZIP
Main Floor Upper
Floors
Garage Area
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2. I
-
of Decks
Finished Basement
Unfin. Basement
6.
75
OWNER
PHONE
3.
TYPENo.
❑ NEW ❑ALT. � AD'N. ❑ RPL. ❑ MVE.
Baths
No. Stories
No. Rooms
No. of Dwellings
ADDRESSZIP
Actual Set Backs in Feet
CERTIFICATE
le
Rec'd.
Not Req'd.
of EXEMPTION
I
DESCRJBE WORK
Enum. Dist.
North South East West
CONTR CTOR -D
PHONE
Size of Parcel
Zone Classification
4. ADDRESS
ZIP
z;,"o
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROMArea
-
of Decks
Finished Basement
Unfin. Basement
6.
75
I
TYPENo.
❑ NEW ❑ALT. � AD'N. ❑ RPL. ❑ MVE.
Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ,@ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
of EXEMPTION
I
DESCRJBE WORK
Enum. Dist.
Location (Area)
8
FEES COLLECTED
VALUATION
SOUR
GAS
ELECTRIC
YXTER
SEWER
Ownership
USE CODE
OG
9.
UTILITIESOF
I
I
Public ❑ Private ❑
Single $
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
Building
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
Plumbing
/J
DATE OF APPLICATION ZL57— Z "ryG / diji v
G SIGNATURE OF APPLICAN
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
utilities
Plans Examiner
C
wilding -Tech Technician � PERMIT IS NONTRANSFERABLE
PERMIT NUMBER
0 0
* 9 0 0 Y
,1 7 5, 0
10-27-80
64`9,
CJd
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. x
2 7 l ri
9, U CL h
j