1983, 06-17 Permit: 83A-5485 Heat Pumps PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER '
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY 63,rbc, ^ 1-,4S 7
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
cPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET D ESS
1. , 1005 NJ 1 h DR, PARCEL NO.
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER I PHONE PHONE
C .:4\1 3. C .1 -r2t\{ 22„5o5-00'I
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
1°06 F1 Pt`t North [South East I West
CONTgA�TOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential El
����i,�j� �?i� -3�tf3� Commercial El
4. AD ESS ZIP Type Const. Occupancy Sprinklered . Li ;
x- -
►• 22 3 1, �5 12-0 r 2-0�, ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Fioor Area
(,
5 4 1
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck ' Uncv.Deck Fin.Basement Unf in.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPENEW ❑ ALT. ❑ ,D'N. ❑ RPL. ❑ MVE.
7. OF WORK CIBLD. ❑ PLMB. Pf MECH. ❑ M.H. ❑ POOL ❑ OTHER Certifi.of Exempt. Required Yes[71 No❑ Number
or Variance Received Yes No
DESCRIBE WORK Shorelines/Flood Hazard Plans Required C]8. ZI
. ) rlOcer nj M pr Yes❑ Not Applic.❑ Received El
VALUATION SOOURCE GAS ELECTRIC PUBLIC WATER SEW CG❑E Ownership FEES COLLECTED
9. UTIF
LITIES PRIVATE❑ SEWER El Public El Private❑
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 Building
work will be complied with whether s ified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the pro io s of any other state or local law regulating construction or the performance
of construction.SEE REVERS ID O E IRED INSPECTIONS Plumbing
SIGNATURE OF APPLICATION
OWNER OR AGENT a. W/t✓`— DATE .3 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning
Modular/
Fire MFG.Home >-
0
Prevent. G
Engineer Other(Specify) V
W
J_
Utilities I LL
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED n 6 1 7 S5 4 8,S z * 19. a
Building IN 180 DAYS
Tech.
%.7 DATE ISSUED PERMIT NO. TOTAL