1982, 06-15 Permit: 82A-4963 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
CNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1 � a...k LEGAL DESCRIPTION - SEE ATTACHED
n . y d_ d_LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
•OWN (
i",0(37./.303
04 * * 140,0
3. * 1 4.0 0 6
AD S j ��� ! ZIP Actual Set Backs in Feet
�ip l ,. per, A 0.0 0 g
�- .�-� A !� y�' North (South East (West
CONT ALTO P N /, Size of Parcel Zone Classification 4 9 6 2.2.2,
..45_4
AD SS � , Zip, ` Type Const. Occupancy SprinkleredQ��- 15—V2 .,
?4el �7 J ® )p
Oyes ❑No ❑ Req'd. 2. 6 4'79,
DES NER 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 '
D NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE. !
7. OF D OTHER
WORK ❑ BLD. ❑ PLMB. ECH. D M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION I.
DESCRIBE WOR Enum. Dist. I Location (Area) FEES COLLECTED
8. "( /
VALUATION S•r'CE GAS ELECTRIC WAT R SEWER
`�F Ownership USE CODE
9. UTILITIES XX' Public 0 Private ❑ Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
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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 �, �IaJ�..d._ "SIGNATURE OF APPLICANT A VPA./ Mech. 6/°-4
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA 0..
Planning _ O
U
Fire Marshall Mobile Home
L%.
Co. Engineer Other (Specify)
Utilities 0-0
TOTAL $f r
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
1 ` j ' "
-
echnp PERMIT IS NONTRANSFERABLE 0'V 1I 4812 4.9 63'g *1400dFdie- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL