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1980, 05-05 Permit: 80-4287 Heat Pump
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 1. 2. 3. 4. JOB 11; ESS ▪ / LOT BLOCK SUBDI, VIS�O L LEGAL DESCRIPTION — SEE ATTACHED DESIGNER 5. ADDRESS 1 • P ONE ZIP PHONE PHONE PARCEL NUMBER/S Actual Set Backs in Feet North 'South East 'West Size of Parcel 1 Zone Classificatioh Type Const. Occupancy Sprinklered ❑Yes ❑No 0 Req'd. Valuation I Building Area in Sq. Ft. ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7, OF WORK 8. 9. ❑ NEW ❑ BLD. DESCRIBE W VALUATI ❑ ALT. ❑ PLMB. SOURCE OF UTILITIES GAS AD N. MECH. ❑ RPL. ❑ M.H. ELECTRIC A34-- ❑ MVE. ❑ POOL WATER 0 OTHER SEWER No. Baths No. Stories No. Rooms No. of .Dwellings CERTIFICATE of EXEMPTION Enum. Dist. Ownership Public `❑ Private 0 Location (Area) USE CODE Req'd. 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 authority to violate or cancel the provisions of any other state or local law regulating constructionor the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION 161-a-80 SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist ician C AJwYk- SIGNATURE OF APPLICANT SPECIAL CONDITIONS: FOR GAS APPLIANCES PIPE SIZES PIPE LENGTHS BTUS PE13MIT IS NONTRANSFERABLE Rec'd. Not Req'd. FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA -D© (0,00 Mobile Homel Other (Specify) TOTAL $q.00 PERMIT NUMBER 14 -'710 -WATT/ 04* *900 *9.00 N *9.006;=: E *Q00 8 42862 05.05--80 2 6479. WHEN MACHINE VALIDATED,IN THIS SPACE, THIS BECOMES A PERMIT. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 42:8.75 * 9.0 0,° — PERMIT NO. F TOTAL /.