1982, 10-07 Permit: 82A-9195 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT n-'2 4 g/cis NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
L /1 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. Ea4- 12806 Sa.2te,e Road 99216 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3. Norman Gitc.hizt
ADDRESS ZIP Actual Set Backs in Feet 0
E . 1 2 8 0 6 Sc teise Road 99216 North 'South East 'West ,O 4 * *
CONTRACTOR PHONE Size of Parcel Zone Classification * 1 4,006
Poweitz, IncoApo'ated 535-7714 * O,OG0
4' ADDRESS ZIP Type Const. Occupancy Sprinklered Pt
E . 6507 MaU2on Ave. 99206 Oyes ❑No ❑ Req'd.
91 Q.4 7:
DESIGNER PHONE Valuation Building Area in Sq. Ft.
1n-07-82
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
64 7 9,
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER Req'd. Recd. Not Req'd.
WORK 0 BLD. ❑ PLMB. a�IECH. 0 M.H. 0 POOL CERTIFICATE
�( of EXEMPTION
DESCRIBE WORKEnum. Dist. I Location (Area) T
Cann�en Heat Pump to add ono FEES COLLECTED
8. 'btjjnrj 0 ectkkc ‘kc 1
VALUATION SOUR E GAS` ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0 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 INSPECTION Plumbing
406)
DATE OF APPLICATION 001-_ S , 1 9 k 9 SIGNATURE OF APPLICANT '144-66/ v' f Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA 2
Planning CD
_ U
Fire Marshall Mobile Home LU
J_
Pexmit `1
Co. Engineer Other (Specify) 10 . 00
Utilities
TOTAL $ L0
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
f"--13.• -•n T-. hni.ian _ PERMIT IS NONTRANSFERABLE 1 0 9 1 9.5 z * 1 Q:
07 _82 n n a F -
,
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL