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1981, 11-19 Permit: 81B-1997 Heat Pump APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT et 43 - tCi l? rlf NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES mmiJOB ADDRESS/ f/ I 6 IA * 1 4 0 0 1. „5-b. �► / 4,70 Se'pCUOky-/`i// two Pd LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/S 1 0i, u 2. * 1 u. 0 0 3. OWNERiliit m L f' 777 ^-��f e/ i 7 -/63F _ ADDRE$\mss �`/�J� �' ✓✓�� /A v ZIPia, Actual Set Backs in Feet 1 �, E, `v �' �v p?(1 V �(�d/� Q��� North 'South East 'West CONTRACT R PHONE Size of Parcel Zone Classification 1 1 — 1 9— 1 _.F R,i5ona/�zPd �-.)e 635-7333 4' 7 9. ADDRESS ZIP ype Const. Occupancy Sprinklered IV, 90? .(4_Ke {?oad, See. © aS 9 Oyes ❑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. No. Baths No. Stories No. Rooms No. of Dwellings TYPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE. 7. OF 0 OTHERReq'd. Recd. Not Req'd. WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. El POOL CERTIFICATE of EXEMPTION DESCRIBE WORK Enum.Dist. Location (Area) ' $ 'n` /shill/ cp '/a .to-tor/ /n e L/es t m/2- FEES COLLECTED VALUATION SOURCE GAS ELECTRIC ,T WATERTGt SEWER Ownership USE CODE OF 9. UTILITIES Public ❑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 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 /0 7/1/ SIGNATURE OF APPLICANT � 1 Mech. /o) dd SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA Cl, Planning 0, 7 Fire Marshall Mobile Home J .t�s0 /eta r RolfCo. Engineer Other(Specify) Utilities TOTAL $ / �V Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. • 1 Buil ing hnician PERMIT IS NONTRANSFERABLE .1''1`.1. 9,_ 8'1 1 9 9.7 Z *1 4.0 0 a...i--, _ ✓ l/ 9� c ,.. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL