1981, 08-25 Permit: 81A-8507 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
,3� ��� LEGAL DESCRIPTION —SEE ATTACHED
LOT I BLOCK SUBDIVISION I PARCEL NUMBER/S
OWPLqR
PHONE
No. Stories
11,
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
3.
�tt
ADDR SA
ZIP
Actual Set Backs in Feet
/
- �CiJ C
Req'd.
North South East West
CONTRA`C OR
PHgNE}�'�/f7�
Size of Parcel
Zone Classification
I
DESCRIBE W K Enum. Dist. Location (Area)
FEES COLLECTED
4. ADDA
ZIP
Type Const.
Occupancy
Sprinklered
7
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
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
5. ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM -r I Area of Decks I Finished Basement I Unfin. Basement
s.
PERMIT NUMBER
�r
1 4.00
-
*1µ.0C ~
* 1 4,00
A *aoC
85C,h
08-25-81
6.479.
* 14 0 U'L. l,-
No. Baths
No. Stories
No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB.c� MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE W K Enum. Dist. Location (Area)
FEES COLLECTED
8
VALUATION SOURCE GAS ELECTRIC ATER SEWER Ownership USE CODE
OF 1
9. UTILITIES Public El Private ❑
I
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
`--
Mech. I
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Plans Examiner
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist
THIS BECOMES A PERMIT.
Bul ing Techft�(e4a,n PERMIT IS NONTRANSFERABLE
o &-2,5" " 8 1
8 5 a7 z
* 14 0 U'L. l,-