1980, 03-19 Permit: 80-2381 Heat Pump PLAN NUMBER APPLICATION/PERMIT f� PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT T`' ` C6o.- a� c�s
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
0, 4 * * 9,0i
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1. 0 / ..3 0 6 b1/e fl, s l E/ .; 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S ,*. C Q 0
2. OWNER PHONE F
5) �.-,0
ADDRESS ZIP Required Set Backs in Feet
GJ
3a 7r*, ,Grp 9'7 /i North 'SouthEast (West 0 3- 1 9-8 0
CONTRACTOR - PHONE / Size of Parcel Zone Classification
SII O Y C �?o C�-ri'n ff &f, 0-3 it-Y(773 g. 6.4 7 9.
4. ADDRESS ZIP /� Type Const. Occupancy Sprinklered
g. .C'Ci 37 r t? -7,A r q 92071 Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
./ No. Baths No. Floors No. Rooms Rec. Room
TYPE I= NEW ❑ ALT. L'1 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. ❑ MECH: ❑ M.H. ❑ POOL
of EXEMPTION
DESCRABE WOR y
8. �\\tij ��L`I,li!`/(EJ �L.--rt_ei-7C �-ea-t r-�—,.-r' FEES COLLECTED
VALUATION Source GAS ELECTRIC V WATER SEWER
of
9. Utilities 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
Plumbing
performance of construction.
DATE SIGNATURE Mech.
y ✓
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
FOR GAS:
Env.Health r„
SEPA o
Planning PIPE SIZES:
u_i
0
Mobile Home co
Fire Marshall PIPE LENGTHS:
—
Co. Engineer Other (Specify)
BTU'S:
Utilities
TOTAL $q
Zone Clearance
SEPA Checklist i WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DAT 53—rd: OFFICIAL Oft. A YZ 0 5 -.1 Fi C ,. J 11, 1 rk i Iii t._
APPROVED FOR ISSUANCE —