1982, 06-11 Permit: 83A-4842 Heat PumpPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
`11 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBL)ivibiuN PARCEL NUMBER/S
2.
OWNER PHONE
l r
3.
ADDRESS 9
1ZIP
Actual Set Backs in Feet
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
-IV1. i,�9
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
-
Dyes ❑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. Basemen
6.
TYPE
�y5
No. Baths
No. Stories
No. Rooms
No. of Dwelli
❑ NEW
Icy ALT.
ElAD'N. ❑ RPL.
❑ MVE.
% OF
/❑`
OTHER
El BLD.
PLMB.
1-1 MECH. ❑ M.H.
El
CERTIFICATE
Req'd.
Recd.
Not Re(
WORK
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
s. 7 - {
VALUATION I SOURCEGAS ELECTRIC WATER SEWER USE CODE
Ownership
9. UTILITIEOF S rj i j Public ❑ Private Cl Single $
1 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 INSPECTIONS / Plumbing $
DATE OF APPLICATION 10 7 SIGNATURE OF APPLICANT /� /1�1" /.-� Mach.
SPECIAL APPROVALS
NAME DATE
nv. Health
anning
ngineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
� 434
n
x U:
* 1 0 O
A
48,1
0 6 -1 1 -82
6479
TOTAL $ `
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'b - !l 11'- 8 2 4 8 4 2 2
*19,000,0- -