1981, 06-23 Permit: 81A-6231 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT�NUMBERii 4)
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
JNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
Iv` APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ,
iLEGAL DESCRIPTION — SEE ATTACHED 0 4 * * 1 4.0 0
LOT BLOCK SUBDIVISION PARCEL"NUMBER/5 * 1 4:0 0 5
2.
OWNS PHONE * 1 4.0 0 6
3. C -- - "� `- A * 0,0 0 J
ADD SS - ZIP Actual Set Backs in Feet
/ -�1� -��/ North 'SouthEast (West 6.2 3.0
CO R CT R qqN� Size of Parcel Zone Classification
a. ( `1 ' amu
. 90-�"- S 1L 0 6-2 3-8;1
ADDSS ZIP Type Const. Occupancy Sprinklered o
3c r ❑Yes ❑No 0 Req'd. 6 4 7 9.
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. AD'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER
WORK
1:1 BLD. CI PLMB. MECH. ❑ M.H. I=1 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESC IBE WORK Enum. Dist. Location (Area)
8 i 1—(:71X1—(:71X-'_ ' e cy-V-- I FEES COLLECTED •
VALUATION SOU � �E GAS E E TRI WATER SEWER
O Ownership USE CODE
9. UTILITIES Public D 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 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 r ` :4.- `f/ SIGNATURE OF APPLICANTS- � :v
t - C �` 1 Mech. /T "-
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n.
(..DPlanning
-
Fire Marshall Mobile Home w
I L
Co. Engineer Other (Specify)
Utilities ` ...Q.
TOTAL $ ! �
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
TAT Tecian e� PERMIT IS NONTRANSFERABLE a 8' 1'
} . 6 2 1 Z *14 0 0,a°
1 �� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUER �+ .PERMIT NO. • TOTAL