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1980, 07-28 Permit: 80-7741 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 LOT BLOCK . WI uexx SUBDIVISION LEGAL DESCRIPTION - SEE ATTACHED 3. 4. OWNER ADORES CONTR} TOR PHONE ZI P PARCEL NUMBER/S Actual Set Backs in Feet (South East North P ONE ,may DESIGNER ,)c 7 PHONE Size of Parcel Type Const. Occupancy West Zone Classification Sprinklered ❑Yes ❑No ❑ Req'd. Building lding Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK 9. ❑ NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE. ❑ BLD. ❑ PLMB. MECH. 0 M.H. 0 POOL DESCRIBE WORK VALUATION SOURCE OF UTILITIES GAS E ECTRIC WATER ❑ OTHER SEWER No. Baths No. Stories J CERTIFICATE of EXEMPTION No. Rooms No. of Dwellings Enum. Dist. I Location (Area) Ownership Public ❑ Private ❑ 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 construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT.}O iS DATE OF APPLICATION 4C7C) SIGNATURE OF APPLICAN SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Enginee Utilities Plans Examiner SEPA Checklist Building Technician SPECIAL CONDITIONS: FOR GAS APPLIANCES PIPE SIZES PIPE LENGTHS BTUS PERMIT IS NONTRANSFERABLE Recd. Not Req'd. FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL�5 PERMIT NUMBER 04* *9,00 * 9,00 * 9,006 E *000 77&02 07-28-80 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 07,28'-8 0 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 77'415 PERMIT NO. *9.00 a 1 -- TOTAL