1981, 12-17 Permit: 81B-2818 Heat Pump rPI AN NUMBER . I
I APPLICATION/PERMIT
PER
MJT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 71'L IT -BE
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 04 * * 1 4, 00
1. - , Z ,h ,..:. --ci6 ittALAJ:LA„. LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOC SUBDIVISION PARCEL NUMBER/S
2.
* 14 00
OERS3. r../7\--4,---1-1- PHONE A * C 'v U 'j
A ESS { ZIP Actual Set Backs in Feet 2 8 1.7 -`-'
/ tt t .r - yf C� (.
0 k,( f 111 4. '`- ",01 f 0 u� North 'South East 'West 1 !— 1 / —o 1
C RACTOR PONE Size of Parcel Zone Classification
p cc, -1 a . 6 0 :v ..liJS 4)— 6 4 ?9:
4' ADDZ�Iyp r Type Const. Occupancy Sprinklered
da.x ' . '11 1 -- �.,LA,, 1_. P f�i s-te to ❑Yes ❑No ❑ Req'd.
DESIGNER , PHONE 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.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER
WORK 0 BLD. 0 PLMB. XMECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRABE WORK } Enum. Dist. I Location (Area) T FEES COLLECTED
VALUATION SOUOFC J GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTI LITIE/jS �'`X\�/Xf/ Public 0 Private 0
-rS& 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./4/11,S/r1
/ S�EE�REVERSE SIDE FOR REQUIRED INSPECTIONS ( Plumbing /�'`/
DATE OF APPLICATION 4/I , SIGNATURE OF APPLICANT ( `� k--�.J.A.../ Mech. / "
SPECIAL APPROVALS SPECIAL CONDITIONS: J
NAME DATE ( Plan Check
Env. Health
SEPA
Planning
C,
Mobile Home ,LI
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $ if Ce
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
•'din Technician PERMIT IS NONTRANSFERABLE s. 1 4 O OO J —
1 4, p * d I-
�y 1 7 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE1J L 7 40 I PERMIT NO. o z TOTAL