1980, 10-07 Permit: 80B-1538 Heat PumpPLAN NUMBER APPLICATION/PERMIT
-QpOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON/ SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
/I ad 7�y 1513L3 I
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HART) TO MAKE 3 COPIES
Type Const.
Occupancy
Sprinklered
04* *9.00
¢. ; -, ;�,,
JOB DDRESS �!/
LEGAL DESCRIPTION —SEE ATTACHED
I
* 0, r
LOTj--ffE7SUBDIVI5I0N
PARCEL NUMBER/S
2.
DESIGNER
�i0
liv
A � v s `n
OWNE
�'
PHONE
3. l
a 3a7
53,7c
153,7-
ADDRESS
ZIP
6
Actual Set Backs in Feet
ZIP
Main Floor I Upper
North South East West
1
CONT
PHONE
Size of Parcel
Zone Classification
Area of Decks
S"
Unfin, Basement
6479.
4' ADD S
ZIP
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor I Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin, Basement
6.
No. Baths
No. Stories
No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF OTHER-1❑
13 BLD. ElPLMB. EJMECH. M. POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8
VALUATION
SOURCE
GAS
ELECTR C
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIES
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
Mech.�
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
uildingTnnician
PERMIT IS NONTRANSFERABLE�*.
1 `j 3 8
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