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1980, 01-02 Permit: 80A-9721 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I SPOKANE COUNTY — BUILDING CODES DEPARTMENT M/ � -' ©` r '' '''$ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /. —t,ZO ? APPLICANT: COMPLETE NUMBERED SPACES — PRESS' -LARD TO MAKE 4 COPIES JOB A DRESS C4 * * 9, 00 1. L� LEGAL DESCRIPTION — SEE ATTACHED * 9 0 0 L666T BLOCK SUBDIVISI N / PARCEL NUMBER/S * 9,Q Q J 2. O W yy,��E��VI}}R / y t PHONE y E * a,0 0 8 A Required Set Backs in Feet 9 7 2 0 o 55®r L� / , �� A � ygL 0 1 -C 2 C S. Cb` /v Neil, 15r/ i North South East West CON RACTOR I PHONE Size of Parcel Zone Classification 4. ` N 1/6e°14 i A" Vey %7i 2 6479, ,ADDr�Rt}�f,,��s,S1, /��� �- ,A f ZIP �y Type Const. Occupancy Sprinklered e 3 rJ 0Pe57/IV e c�r Ar/IV, )r' LL' e7 Oyes ❑No ❑ Req'd. DESIGNER al / PH NE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. TYPENo. Baths No. Floors No. Rooms Rec. Room .NEW D ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF 0 OTHER Req'd. Recd. Not Req'd. WORK ❑ BLD. 0 PLMB. 0 MECH: 0 M.H. 0 POOL CERTIFICATE of EXEMPTION DESCRIBE WORK FEES COLLECTED 8..... /V5 2W// j7k p ,0/Si i' -e' 57geriew VALUATION Source GAS ELECTRIC WATER SEWER of 9. Utilities 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 Plumbing performance of constr tion. L' ` �J c' DATE __ . ti; SIGNATOR +/ Mech. 7.T SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env.Health 6 / ic--0LJ ---_-, B --..--ss SEPA o — (J GJ F- C.0 w 0- Mobile Home cn Fire Marshall — Co. Engineer Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. f n SEPA Checklist , _ -- -, J �; -� * 9,U0 a DATE OFFICIAL C i "- t" U APPROVED FOR ISSUANCE —