1981, 02-05 Permit: 81A-1208 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER Al .�j
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
cy
k � 7 5
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 c 4 * * 1 4.0 0
LOT BLOCK SUBDIVISION I PARCEL NUMBER/S * 1 4 0 0
2.
OWNER PHONE * 1 Q,0 0 c,
3. ���.\_T b\ _,TL L_ q1/4a4 . S. 1r7 A * 0,0 0 E
ADDRESS ZIP Actual Set Backs in Feet
\' c:`-k Sc f t STN b<_keF, . G\a_cG, North 'SouthEast lest 1 2 0.7
CONTRACTOR 1 1 PHONE Size of Parcel Zone Classification
4. • P*S.-\ \k iv +Oc- I�VCZ twIWTAIONti N6' y \-
8` C\ 1 0 2-0 5-8 1
ADDRESS ZIP Type Const. Occupancy Sprinklered o 6& 7 9.
.k.St. g,1 . `S�c �c \�1i . ck5Q.c)g Dyes ❑No 0 Req'd. `
DESIGNE = 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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
0 NEW 0 ALT. AD'N. 0 RPL. ❑ MVE.
7. OF 0 OTHER -
WORK 0 BLD. ❑ PLMB. ,MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE���rWORK ` l� n Enum.Dist. Location (Area) '
8. c i \S\NIA— 'N 1"�C�"- PV '" ��n I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC: WATER SEWER Ownership USE CODE
OF Public ❑Private 0
9. UTILITIES
..- 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 INSPECTIONS Plumbing
DATE OF APPLICATION •'2.C.- : -"Z ` SIGNATURE OF APPLICANT C.\ ( -x C>A.X$-",-51 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
>-
SEPA r
Planning 0C.,
- w
Fire Marshall Mobile Home -4
u..
Co. Engineer Other (Specify)
Utilities 14 400
TOTAL $
Plans Examiner I
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
—Bui ' g T h' is an PERMIT IS NONTRANSFERABLE 'i0�2 85:-8.'1. 1 2 Q z 1'�0.0 a F _
7 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED- PERMIT NO. TOTAL
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