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1983, 06-07 Permit: 83A-4953 Heat Pump
PLAN NUMBER APPLICATION/PERMIT PERMIT NUM ER SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY 7A NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET cicaADDRESS Plt r/-,6 A F PARCEL NO. 1 3 .LOT��`rrBLO-Ck SUBDIVISION4/`C/� LEGAL DESCRIPTION: 2. OWNER ' ' ` P ONE PHONE 3. >/ Jai- / 4 ' '-_ le,' '`>i I AAILING ADDRESS ZI Actual Set Backs in Feet to: it� 2h'/u ' / North I South East I West CONTRACTOR V, LICENSE EXPIRES PHONE x•'�o',-, Size of Parcel Zone Classification Residential❑ )a-4-4..d.) ' 41-1176 Commercial❑ 7 ,/3 3?Q7 ZIP tea© Type Const. Occupancy Sprinklered _ //CJD/�,�� ❑Yes ❑No ❑Req'd. DESIGNER �E New Const.Valuation Remodeled Valuation Total Bldg.Floor Area 5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse • 4 * * 1 4 Q CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement * 1 ti 0 0 6. ;, * n .. ,L No.Baths No.Floors No.Fin.Rooms No.Dwellings TYPE ' ',NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. . 7. Li l J %WORK CI BLD. ❑ PLMB. ¢ MECH. ❑ M.H. ❑ POOL 0 OTHER Certifi.ofExempt. Required Yes No❑ Number � ✓ or Received Yes No3 6- u 7- 6 ` DESC E WORK / Shorelines/Flood Hazard Plans Required❑ 8. Yes Not Applic.❑ Received ❑ f' 4 ' Q VALUATION SOURCE GAS ELECTR�WATER SEWAGE Ownership 9 OF UTILITIES x` PUBLIC CI PRIVATE❑ SEPTIC IC ❑ Public❑Private ICFEES 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 Building work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- thority to violate or e. cel the provisions of any other state or local law regulating construction or the performance of construction.SEE,. VERSE SIDE FOR REQUIRED INSPECTIONS Plumbing SIGNATURE OF y ` �� ` APPLICATIONS_ - OWNER OR AGE I.gnapi r ,�! DATE ( Mech. t 4. ?"0 SPECIAL AP• -OVALS SPECIAL CONDITION :(SE• REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE � Plan Check Env.Health &4"()V 8U S I SEPA Planning Modular/ MFG.Home >- Fire Ci. Prevent. O Engineer Other(Specify) W — ri Utilities ,,ff TOTAL $E `'�",00 SEPA PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, Plans THIS BECOMES A PERMIT. Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building / IN 180 DAYS U 5 —0 7 —U 3 a 9 5, 3 z * 14,00 Tech. i 1--j- C17 ( DATE ISSUED PERMIT NO. TOTAL