1980, 06-18 Permit: 80-5955 Heat PumpPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
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 �, 1 9 LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISURDIVISION I PARCEL NUMBER/S
OWNER ') PHOryf
ADDRESS ZIP Actual Set Backs in
� North Soi
CONTR AOR /
PHONE
Size of Parcel
Zone classification
4. ADDRESS /
zw,
Type Const.
Occupancy
Sprinklered
ii �'Z'-�1,C✓�— _
���`�j��!
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
F7Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE❑ NEW ❑ ALT. D'N. 1:1 RPL. El MVE.
t A
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF -1 OTHER
WORK 1:1 BLD. ElPLMB. ECH. 1-1M.H. ❑ POOL
CERTIFICATE
Req'd. I
Recd.
Not Req'd.
of EXEMPTION
DESCRIBE WOR
Enum. Dist.
Location (Area)
FEES COLLECTED
8. )tL )
VALUATION
SOURCE
GAS
L�GTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
I UTILITIES
\C/ /
~'
Public 11 Private ❑
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 INSPEC i S
Plumbing
DATF nF APPI Ir:ATInN t��'l� � � SIr7AIATI IRF M: APPI lr'AnIT j , vtiL% I"% <-
Mech
SPECIAL APPROVALS
NAME DATE
nv. Health
Planning
Fire Marshall
Co. Engineer
ties
s Examiner
A Checklist
ling feihn
SPECIAL CONDITIONS:
FOR GAS APPL
PIPE SIZES
PIPE LENGTHS
BTUS
S Plan Check
PERMIT IS NONTRANSFERABLE
SEPA
Mobile Home
Other (Specify)
04* *9,00
*"00
*900
t
0) 0 0
5954
Ob -1 F-80
6,479,
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
061-1 °,'0 595,5
62
*9.00