1983, 09-02 Permit: 83A-8577 Heat Pump PLAN NUMBER APPLICATION/PERMIT ' PERMITUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY g%-"A -g /7
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
(----___ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1''71€41.,e-pt /5"/9 artm.eit,aiLOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER �� PHONE PHONE
3. l32 � Clprc�%Y i . 9.2 -793:3
MAILING ADDRESS/5-1 5/ l/V`e _ZIP Actual Set Backs in Feet to:h
O���d'•l.Li North South East West
CpNTRACTOR LI6 EEXPIR S PHONE Size of Parcel Zone Classification �'
l cq' � �i'/ `! �� Residential❑
4. .- 1' "c---4"- l•� 7 Y 7� Commercial❑
XppD_RES/S� / �� ZI p Type Const. Occupancy Sprinklered
Cv lliJ�T 5-0 5/ ���Z Lvv'e- ' c/ a ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. .
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse L _ - , —
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement F r
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE 0 NEW 0 ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7. OFyy`` ❑ OTHER
WORK
0 BLD. 0 PLMB. i1d1 ECH. ❑ M.H. O POOL Certifi.of Exempt. Required Yes No❑ Number
or Variance Received Yes❑ No❑
8. DES WO K i j Shorelines/Flood Hazard Plans Required❑
(�" '/w/J✓ Yes Not Applic.❑ Received ❑
^VALUATION, SOURCE GAS ELECTRIC WATER SEWAGE Ownership
P9•a[6 90. — UTILITIES PRIVATE O SEPTIC O Public❑Private 0
FEES COLLECTED
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 to give au- Building
thority 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
SIGNATURE OF APPLICATION d 0-0
/
OWNER OR AGENT DATE a/ . i. /,3 Mech. /0,
SPECIAL APPROVAL SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health `-.-„y4_ _ 7L c ,,,e td-A
C.CG� f✓�'�/ SEPA
Planning
Modular/
Fire MFG.Home
Prevent. l e 1Lp'745o
Engineer Other v
W
J
Utilities J, / 00
LL
TOTAL $ V.
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building '4VV 1 ) / IN 180 DAYS 0 9 - 0 2 -8 3 8 5. ?. 7 z * 14, 0 0 °
Tech. !q
�
! DATE ISSUED PERMIT NOTOTAL