Loading...
1983, 04-13 Permit: 83A2908 Heat PumpAPPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 1. 2. 3 JOB ADDRESS E 119b4 - LOT BLOCK SUBDIVISION £i.Au.)1.1 LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S OWNEN ADDRESS oeOon1 kvI�►�st ic1<I� 4. 5. J/t► f L CONTRG 4 ADDRESS \+ c DESIGNER ADDRESS leilob Required Set Backs in Feet North 'South East 'West nel 48444078 Size of Parcel Zone Classification o e N L PHONE Type Const. Valuation Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. ZIP DWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK NEW ❑ ALT. ❑ AD'N. ❑ BLD. 0 PLMB. MECH: ❑ RPL. 0 MVE. 0 OTHER ❑ M.H. 0 POOL No. Baths No. Floors No. Rooms Rec. Room CERTI FICATE of EXEMPTION —„Q.,ESCRIBE WOR 8. 14- � Nt v1 yv ////JJ�� s s m w/1 x gtVY VALUATION Source GAS ELEdT'R�IC WATER SEWER of 1 l 9. Utilities Req'd. Recd. Not Req'd. 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 laregulating construction or the performance of construction. DATE SIGNATURE DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CON IONS: f5K0 EI6 c, eACv_ (`" 1be ISt4 0,o()) 'NS 4.2,000 -443-11 DATE / 4/ 7OFFIC AL �• nnnnnt n rn iccnnnirr FEES COLLECTED Single $ Building Plumbing Mech. Plan Check -.SEPA Mobile Home Other (Specify/ PERMIT NUMBER DATE Uti-* *1900 * 1 9.006 A *000 29078 04"13-83 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0.4'-1`3-83' 290.82 *19.00° 7-,CALE ao' IO1. 27' Noe- 12' c+ ' 4t): • 1.0-r 6-7 _;j5