1981, 04-29 Permit: 81A-4070 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT M eq A
qA _ 401 0
60/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS > ��—' • 0 4 * * 1 4:0 0
LEGAL DESCRIPTION - SEE ATTACHED
1 LOT C. ii
ALJ BLOCK S BDIVISIO v Q * 1 4 0 0
11 PARCEL NUMBER/S
2. * 14.006
OWNER i o•"—'--� PHONE # A * O, O O 0
3. ( U�r.�o / .�� 7,24-- 7tya-
ADDRESS ZIP Actual Set Backs in Feet 4 0 6 9 z
/��2 = TI a ,0 6 North !South East 'West
CONNjjT��RAC OR ZONE �/�j Size of Parcel Zone Classification 0 4-2 9-8 1
4. ADDRES —i•a ` o ,5'.31/-4/775''
ZIP Type Const. Occupancy Sprinklered 4 7 9.
b D / rl:JC/ Q (p 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.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. vr MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
D SCRIBE WORK Enum. Dist. I Location (Area) ' FEES COLLECTED
8. / / 2.
ALUATION SOURCE GAS ELECITRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES 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 INSPECTIONS. Plumbing
10•o 0
401a 4)
DATE OF APPLICATION / j SIGNATURE OF APPLICANT /A//..,'iaf Mech. A
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA L-
Planning
c)
— w
Fire Marshall Mobile Home
L
Co. Engineer Other(Specify)
Utilities g'
TOTAL $
Plans Examiner
SEPA Checklist WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ildi : `hnician PERMIT IS NONTRANSFERABLE O l i'i-2' 'l9•I•-81
4 d ZZ *14 O O p0 —
+ `^ ' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL