1982, 10-05 Permit: 82A-9098 Heat PumpPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT l�� QjZA
rti NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
v APPLICANT:
COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESi.
14
LEGAL F?ESCRIPTION - SEE ATTACHED
,. &, 1
r 07
P ONE
Size of Parcel
LOT
BLOCK
%..� to ci
PARCEL NUMBER/S
2.
ISURDIVISION
Occupancy
Sprinklered
OWNER
PHONE
3.
❑Yes []No ❑ Req'd.
DESIGNER
PHONE
Valuation
ADDRESSZIP
Actual Set Backs in Feet
14
North South
East West
CONTR CTOR
P ONE
Size of Parcel
Zone Classification
%..� to ci
4. Ap S
Type Const.
Occupancy
Sprinklered
❑Yes []No ❑ 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 Dwelling
TYPE 13 NEW 11 ALT. ❑ A'N. 11 RPL. ❑ MVE.
], OF ❑ OTHER
-1 BLD. ❑ PLMB. MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DE IB
8
K_
(/ljJ'v
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
EWER
Ownership
9.
I UTILOITIES
i
Public ❑Private ❑Single
$
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisio
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances goBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does n
Inuded
to give authority to violate or cancel the provisions of any other state or local law regulating constru
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
R
Mech. C
DATE OF APPLICATIO
SIGNATURE OF APPLICANT.
SPECIAL APPROVALSI
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
Lecnnic n^
SJ
PERMIT IS NONTRANSFERABLE
SEPA
Mobile Home
Other (Specify)
TOTAL
04* *1A00
* 1 4. i0>.
A �
9C?7
10-05-F2
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10..05-`82 909.862
*14'OOa-Ij-, -