1980, 07-28 Permit: 80-7739 Heat Pump PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT �� Sa •--7 ��9
V NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES -, PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS +LEGAL DESCRIPTION - SEE ATTACHED 0 * * 9,0 0
j�3 3o * Q.0 0 N
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 9,00
OWNER ON
3. F,t:49._J:49._J �'�—E to 7I E * O.0 0
ADDRESS I ZIP Actual Set Backs in Feet 7 7 3 8 2
!,30- -) J North 'South East (West
CONTRACTfOR PHONE Size of Parcel Zone Classification 0 7-2 8-8 0
4' ADDRE$]S� `` -- U 7 ZI Type Const. Occupancy Sprinklered 4 7 9,
��: -YNL' CL.VL.+,...% 4Ce 4C.' 1 ❑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 0 ALT. AD'N. 0 RPL. 0 MVE.
7, OF P ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. 0 PLMB. MECH. 0 M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) T
8 �l ,, FEES COLLECTED
�C.1-� (T I
VALUATION SOURCE GAS Ek.FCTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES �11 h� / ...•
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 INSPE �j S Plumbing
"-- - - .&- . �'
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT/ / ';-1_0()
SPECIAL APPROVALS SPECIAL CONDITIONS: / Plan Check _La ,
NAME DATE FOR GAS APPLI S
Li
Env. Health PIPE SIZES
SEPA a
Planning PIPE LENGTHS _ c)
Fire Marshall BTUS Mobile Home w
J
Co. Engineer Other (Specify)
Utilities
TOTAL $
r`
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 0 77" 2 8,` 80 7 7 3 9 2 * 9, 0 0 ° i
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL