1980, 10-07 Permit: 80B-1536 Heat PumpPLAN NUMBER 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
at.vo(
I Upper Floors
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
CHANGE OF USE FROM
TO
ARCEL NUMBER/S
2.
I
ISUBDIV15ION
OWNER
P NE�/j
3. in �
No. Baths
c�7"
No. Rooms
ADDRESS
7, OF 10:1OTHER
ZM
ZIP
Actual Set Backs in Feet
rn �'
(
aG
CERTIFICATE
Req'd.
I Recd.
T
North South East West
CONTRA OR r
P ONE
Size of Parcel
Zone Classification
_
8.
FEES COLLECTED
4.
OF
9. JUTILITIES �- Public ❑ Private ❑
I
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
ADDOIEE
Z(�
� jG r
Type Const.
Occupancy
Sprinklered
-[
SPECIAL APPROVALS SPECIAL CONDITIONS:
,00
❑Yes ❑No ❑ Req'd.
DESIGNER
Env. Health
PHONE
Valuation
Building Area in Sq. Ft.
5.
Fire Marshall
Mobile Home
Co. Engineer
PERMIT NUMBER
&� 8"
G4* *Q.G
*700Y
1 5 3. 5 ..
1 G-fr?-FSG
6. [E I
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPENEW ALT. DIN. RPL. MVE.
❑ ❑❑ ❑
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF 10:1OTHER
ZM
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
WORK ❑ BLD. ❑ PLMB. ECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8.
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. JUTILITIES �- Public ❑ Private ❑
I
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
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 INSPECT SI
�O-�0Plumbing
'Q /11QSL,r C�In CLQ �
DATE OF APPLICATION_ SIGNATURE OF APPLICANT ' � Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
,00
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $ c
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
ilding T ician PERMIT IS NONTRANSFERABLE
C
'1 -•'U 7 — a'
* 9,0 a- f _
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