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1982, 04-08 Permit: 82A-2622 Heat Pump, FurnacePLAN 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 LO BLOCK SUBDIVISION 2. ow 3. 4. A D C}ftE� .2, DESIGNER 5. ADDRESS j LEGAL DESCRIPTION - SEE ATTACHED ZIP/1na `h PHONE PHONE PARCEL NUMBER/S Actual Set Backs in Feet North 'South East (West Size of Parcel Zone Classification Type Const. Valuation Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. ZIP Main Floor Upper Floors Garage Area Storage CHANG. OSE FROM 6. TYPE 7. OF WORK ❑ NEW ❑ BLD. ❑ ALT. ❑ AD'N. ❑ PLMB. /MECH. ❑ RPL. ❑ MVE. ❑ M.H. ❑ POOL ❑ OTHER Area of Decks No. Baths Finished Basement No. Stories No. Rooms Unfin. Basement No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. 6, S C R I •v,/VALUATION E W.10 F3 K Enum. Dist. Location (Area) 9. SOURCE OF UTILITIES GAS EL: T'IC WATER 4, SEWER Ownership Public ❑ Private ❑ 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 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 /�G F' !iL- REVERSE SIDE FOR REQUIRED INSPECTION �/f� DATE OF APPLICATION �� SIGNATURE OF APPLICANT /L��//� SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist V inghnician PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ IC( -co PERMIT NUMBER gip —�Co�,- I 04* * 1 9.00 * 1900 * 1 9.006 A *000 262.1 04-08-82 6,479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0`4-0&+82 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 26222 *19.00a� PERMIT NO. TOTAL