1980, 11-18 Permit: 80B-3901 Heat Pump PLAN NUMBER APPLICATION/PERMITPERMIT NU1b013MBER_
n� SPOKANE COUNTY — BUILDING CODES DEPARTMENT -- ' 0 I
1/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS Cr, wvo1
1. ' 9� Aak LEGAL DESCRIPTION — SEE ATTACHED 0 4 * * 9.0 0
LOT BLOCK SUBDI I ION PARCEL NUMBER/S 0 0 N
2.
OWNER PHON * 9 C 0
3. 9a --5-1 0 (_-:: 3
ADDRESS, Z Actual Set Backs in Feet
_ /� 4' North South East (West 5 9 0 0
CONTRA
PHONE Size of Parcel Zone Classification
1 1 — 1 8-8 0
),..11,) itt.1' 4,A.c,- 3—4471S-
4.
AD Type Const. Occupancy Sprinklered 6. 4 7 9,
QO r`99Cl7 EYes ❑No 0 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.
Lf•AD'N. 0 RPL. 0 MVE. No. Baths No. Stories No. Rooms No. of Dwellings
TYPE
0 NEW 0 ALT.7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. §I‘IVIECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK C 441 Enum. Dist. I Location (Area) '
8 LtJ�J�lSJ` 3 ` FEES COLLECTED
VALUATION SOURCE GAS (ELE1
CTRIC WATER SEWER Ownership USE CODE
9. UTILITIES (--\c_ 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 INSPECT! NS gimesrd2.^-} Plumbing
JDATE OF APPLICATION ! ~ 13 �,� SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: / 'vim
NAME DATE Plan Check 1J 'CID
Env. Health
Planning SEPA
0
O
Fire Marshall _ U
Mobile Home w
J
Co. Engineer CZ
Other(Specify)
Utilities `�
TOTAL $ �-w�•
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildin
� 1,1/6/6 .9echnici n
PERMIT IS NONTRANSFERABLE
11 +} 880. 3i9al *9. 002
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL