1982, 09-13 Permit: 82A-8169 Heat PumpIvy
PLAN 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 ADDRES
1.
2.
3.
4.
LOT
OWNE
ADDR
CONTR
AD
BLK (SUB'IN
C)I
10//ey Li
LEGAL DESCRIPTION - SEE ATTACHED
PwoNE
,-2 ,�.4'/r)
PARCEL NUMBER/S
TOR
VI; 1. ✓ r1 4/1e��
DESIGNER
5' ADDRESS
ZIP �
Actual Set Backs in Feet
North 'South East 'West
PHONC��L�
ZIPS
PHONE
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation (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
❑ NEW
❑ BLD.
DESCRIBE WOR
8. �.
D ALT.
❑ PLMB.
❑ AD N.
MEC H.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
VALUATION
9.
SOUR
OF
UTI LITI ES
ffri
C� RI i %1ul 7
ELECT
GAS
ATER
SEWER
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
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 graftti g of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local I regulating construction or the
performance of construction SEE REVERSE SIDE FOR REQUIRED INSPECTI'iNS
DATE OF APPLICATION '3.-76—
- SIGNATURE OF APPLIC
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ui T-chnjcia
SPECIAL CONDITIONS:
gra t - /Lee,
PERMIT
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
` Mlech.
-v
Plan Check
SEPA
Mobile Home
Other (Specify)
19a)
e/t l
TOTAL $
PERMIT NUMBER
C4* *19.00
*19.002S
A *0,00
816RR
09-13-82
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09-13-82
816.92 *19.0u
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL