1982, 02-09 Permit: 82A-913 Heat Pump PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT A. ...42 t3
eiNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. x"110 4—V`-' i dL LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 04 * * 1 4,00
OWN PHONE PHONE * 1 4, O O ro
3.
ADDRESS ZIP Actual Set Backs in Feet * 1 4.0 0 6
/0 (4 4.1 el,. t, North 'South East 'West
CONT AC O' Pa{ONE Size of Parcel Zone Classification A * O. 0 0 v
4. aQI ) 4„,),),...... L x 4,I'L 91.22
Type Const. Occupancy Sprinklered
ADD SS^ 15/Q , ZIP Q Oyes ❑No ❑ Req'd. p
R / Valuation Building Area in Sq. Ft. O 2—O 9—8 2
DESIGNE PHONE 2 6 4 7 9,
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ AD'N. E RPL. ❑ MVE.
7. OF ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. IECH. 1=1 M.H. 0 POOL —
/! of EXEMPTION
DES SRI,E W /r }Enum. Dist. I Location (Area) FEES COLLECTED
8. 1. ! 1 +P :gym F f'b.1 44%_4
VALUATION SOURCE GAS ELECTRIC WATE7R SEWER Ownership USE CODE
9. UTILITIES I 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 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 INSPECTIONS Plumbing
DATE OF APPLICATION / T ti- -- SIGNATURE OF APPLICANTS Mech. 1
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
c
Planning C
Mobile Home t
Fire Marshall
i
Co. Engineer Other(Specify)
Utilities !�i.A
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. 0 O O H
*
9L35 14
mg chnic' r PERMIT IS NONTRANSFERABLE (12,+4t 9'-I8.2
! PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
i