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