1981, 12-18 Permit: 81B-2867 Heat Pump (PLAN NUMBER , APPLICATION/PERMIT PERM( 'NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT ik 615 - ,..stii7
' e) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS [( * * 1 [j, 0 0
/�. 41 LEGAL DESCRIPTION — SEE ATTACHED
1. LOT BLO S B IVISIO PARCEL NUMBER/S
2. * 1 4 00
3. oW(t� 2/- r�!/t-/ q ,F 9ge Fi * 0 ._
ADDRESS 'tel/, j'y/�/ Actual Set Backs in Feet [
/4()0 /f ` `/. ff,4/ r= C L �ry
�i �' North (SouthEastWestCONTR OR ONE / Size of Parcel Zone Classification 1 C— 1 c2 —r; 1
ze)
tn
,r,7619
4. A R //2
J/ ZIP Type Const. Occupancy Sprinklered
//2/ 'et/12 l`" r,geG ❑Yes ❑No ❑ Req'd.
DESIGNER ! E Valuation Building Area in Sq. Ft.
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.
7. OF ..,,// 0 OTHER
WORK
0 BLD. 0 PLMB. fl!MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
r _ of EXEMPTION
9ESCRIV W9yKiffi Enum.Dist. I Location (Area) T
8 P9// 7,,/
� e , -� J />�f� yC� I FEES COLLECTED
VALU TION SOURCELC s GASGEL CTRIe Doc
/ SEWER
Ownership USE CODE
OF
9. UTILITIES Public ❑Private 0 / 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 INSPECTIONS Plumbing
DATE OF APPLICATION /tZ --/ '" U V SIGNATURE OF APPLICANT . �.r:G! / Mech. 4 14-,cc,
SPECIAL APPROVALS SPECIAL CONDITIONS:
4101
NAME DATE Plan Check
Env. Health
SEPA n
Planning `D
— LO
Fire Marshall Mobile Home -�
t ii
Co. Engineer Other(Specify)
v
Utilities ' A OG
TOTAL $ L.�•
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Ai4Technic.ian PERMIT IS NONTRANSFERABLE 1214' 8' 8 1 8.6,7 Z *1 0 a.F -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL