1980, 08-13 Permit: 80-8494 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
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i SPOKANE COUNTY - BUILDING CODES DEPARTMENT
e — g 'f-
. NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES -;PRESS HARD TO MAKE 3 COPIES 0 4 * * 90 0
JOB AD RESS
�£,�n LEGAL DESCRIPTION - SEE ATTACHED * 9.0 0
LOT BLOCK SUBD VISIO PARCEL NUMBER/S *9.0 0 v
2.
OWNER PHONE E *O v
,�+� `1)p rd
�f� d�-S� 8 /'
3 ADDRESS ZIP) _ Actual Set Backs in Feet 8 4 9
_ n </ ( - t North 'South East 'West 0 8- 1 3-8 0
CONTRACT PHONE Size of Parcel Zone Classification
6479.
ADD9.ESS ____Loi 7),p,. 9 Type Const. Occupancy Sprinklered
- [ O 41 �� ' "0..—X „/L O.-- (1 Y 90 / ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor 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. 0 RPL. El MVE.
4
7, OF 0 OTHER
WORK ❑ BLD. ❑ PLMB. MECH. 0 M.H. El POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK ' Enum. Dist. I Location (Area)
8 . -)4-Obi-CD
/OFEES COLLECTED
V I
VALUATION SOURCE GAS EL CTRIC WATER SEWERUSE CODE
Ownership
9. UTILITIESOF 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 INSPEC S Plumbing
DATE OF APPLICATION S ) SIGNATURE OF APPLICANT--- Mech. u(
SPECIAL APPROVALS SPECIAL CONDITIONS: ,.
NAME DATE Plan Check k'
Env. Health
FOR GAS APPLICATIONS SEPA a
Planning O
U
PIPE SIZES Mobile Home — W
Fire Marshall --I
Co. Engineer PIPE LENGTHS Other(Specify)
Utilities BTPS L1{ ( '(
TOTAL $ I "
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui ...rg T-- ician PERMIT IS NONTRANSFERABLE '0 '8 4-a.'j',1-84,0. d o .r
-ma 1,, ;ala849. 42 * 9, OOa � _ /
• PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL