1981, 11-12 Permit: 81B-1723 Heat PumpPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
li 4 * � 1 4.00
JOB ADDRESS
"' %�?,
LEt AL DESCRIPTION —SEE ATTACHED
1. �,
* 1 �t 0 ;
LOT
BLOCK
NUMBER/S
2.
ISLfBDIVISIONYPARCEL
* 1 4,00
A * 0, 0 ,0 S
OWNER
PHONE
3. WAIDEN CHAMBERS
1 7 2 0
ADDRESS
ZIP
Actual Set Backs in Feet
South 533 Thienman Road
9206
North south East west
1 1 - 1 2 - 8 1
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
POWERS INCORPORATED
535-7 4
�. 6479.
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
Ea,st 6507 Matton Avenue
99206
❑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.
TYPE ❑ NEW ❑ALT. [$I AD -N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF 11 OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
❑ BLD. ❑ PLMB. IN MECH. ❑ M.H. ❑ POOL
WORK
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Areal)
FEES COLLECTED
8 ,
VALUAT ON SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
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 SIGNATURE OF APPLICANT' Mech.
SPECIAL APPROVALS PECIAL CONDITIONS:
NAME DATE Plan Check
I
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
uU c nic'
PERMIT IS NONTRANSFERABLE
SEPA
Mobile Home
enmit
Other (Specify)=1 0 0 n
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11, -12' -44 17 2,'3 z
* 14 0 0 00 IJ- -