1980, 09-04 Permit: 80-9593 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
�y
SPOKANE COUNTY - BUILDING CODES DEPARTMENT Al � �� '"/
(V NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES G 4 * * 9. G G
JOB ADDRESS
1.
P 'i,�,(J.�� LEGAL DESCRIPTION — SEE ATTACHED „- o ;`, 0 t
LOT BL/CK SUBDIVISION 1C2- { PARCEL NUMBER/S * G
2.
OWNER /J, P ONE E
3. 9 5 ADDRESSS Actual Set Backs in Feet 9.
r V 9o2.r,a North 'SouthEast 'West 0 9- C 4-8 0
CONTRAC n PHONE Size of Parcel Zone Classification
<-c., -t.1 ,4/-rx,- 3��--5/-45--- - 6.4 7 9.
4' ADD SS r. • CQC/. h W 4) Zp.��C,� Type Const. Occupancy ❑Yes ❑No Sprinklered❑ Req'd.
DESIGNER �sf/'_j P(H�ONE 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 0 NEW 0 ALT. AD'N. 0 RPL. 0 MVE.
7, OF 1 0 OTHER -
WORK 0 BLD. 0 PLMB. la'J`.MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
8 DESCRIBE W iIP Enum. Dist. Location (Area)
t FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES I 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 ONS Plumbing
ay)--)vcdp.,...)
DATE OF APPLICATION 9-34° SIGNATURE OF APPLICAN 'KC2 Mech.
(Q c6"
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA 2
Planning c.
c.7
Mobile Home w
Fire Marshall -1
1:i
Co. Engineer Other(Specify)
Utilities 61TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Builar T c ician .„ PERMIT IS NONTRANSFERABLE 0 9 -'0.4."8 0' 9 5 9. 3 z * 9. 0 0 2 '
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL