1982, 09-20 Permit: 82A-8397 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
r
SPOKANE COUNTY - RU!LDING CODES DEPARTMENT "-,",, -s32 7
a;
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. /6 Y 3Vazeer,,t,er LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOC SUBDIVISION PARCEL NUMBER/S 0 4 * * 1 4.0 0
2.
O R r RHONE * 1 4.0 0 Z`,iaA/t
3.
AD R // ZIP. Actual Set Backs in Feet
': I 4,0'Jv - Jr a Jt '-`(_,(,,,l-j'�(, � zi� `�'"60
- North 'South East (West 8 39.'6 2
CO RACTOR 0 i I PH N X1ft7 Size of Parcel Zone Classification 4i
�-� �_ i�Y+ Ali i 1 SEP 09-2at82
4' A yRE�SS/ p 7 Type Const. Occupancy Sprinklered A ti � L'� t
0 / � / 6= / `f 94K 9 ❑Yes ❑No ❑ Req'd. � +li(ajl? 41, .
DESIGNER PHONE Valuation Building Area in Sq. Ft. vtlf sia(irei
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ,N, 4.
7, OF ❑ OTHER
WORK ❑ BLD. 111PLMB. ,JMECH, ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE O K �r ----/2L4'/9 -•
J,,,7 Enum. Dist. I Location (Area) 1,
8. l--s ..���_,� `A.4 /2L4'/.�/�r� FEES COLLECTED '
.‘,.
VALUATION SOURCE GAS ELECTRIC WATER I SEWER I -
Ownership USE CODEItir* f
OF ,/
9. UTILITIES `'�. Public ❑Private ❑ Single $
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 Building
type of work will be complied with whether specified herein or not. The • a ting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or I. . law regulatin• construction or the
performance of construction. EE REVERSE SIDE FOR REQUIRED INSPEk. IONS 1 Plumbing
DATE OF APPLICATION /E5. • ?"\--- SIGNATURE OF APPLI,C'• .1- 7 / . la•• c / McCh.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE / Plan Check
Env. Health
SEPA >-
Planning a-
O
_ U
Fire Marshall Mobile Home J
Li
Co. Engineer Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
n, an >- PERMIT IS NONTRANSFERABLE 0'9.7.'2 0'-''8(21 8 3 9. 7 z * 14 0 0 a
� � '��1 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL