1980, 10-20 Permit: 80B-2263 Heat PumpPLAN NUMBER f.. APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
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
LOT I BLOCK ISUBDIVISIONPARCEL NUMBER/S
OWNER
ADDRESS
1;3
PHONE
(�
ZIP
�
PHONE
C
Actual Set Backs in Feet
North South East
Size of Parcel Zone
4. Z-0 " r ) C
ADDRESS ZIE� Type Const. Occupancy Sprinklered
CC(' �— C, �. ❑Yes [:]No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors I Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwelling
❑ NEW ❑ALT. �AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ElBLD. 1:1PLMB. _11� MECH. ElM.H. 11POOL CERTIFICATE Req'd. I Recd. Not Req'd
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 0 L, l �� �, � FEES COLLECTED
VALUATION SO�UiR�IC-EE GAS LECTRIC WATER SEW R USE CODE
Ownership
OF Public ❑ Private ❑
9. UTILITIES 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 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 %� �7 ' ri �1 _ SIGNATURE OF APPLICANT 1)?i lh 0— ` �' C _J_ -r Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE
rianning
Fire Marshall
Co. Engineer
Utilities
ns Examiner
Plan Check
SEPA
Mobile Home
Other (Specify)—
nb
TOTAL $ (I
PERMIT NUMBER
M - 1z,
u4* *9.00
*9.00
A *00r
2262;
10-20-80
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ech�y�-jan �j PERMIT IS NONTRANSFERABLE 1- U i— —0 (i Z 6. 3 ? } 9 Q Q h
/[ f