1980, 01-24 Permit: 80-530 Heat Pump PLAN NUMBERAPPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 6o 30
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE vz4/So
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 4 * * 9 0 0
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED * 9.0 0 N
1. A, 1003 Vitt_3`AR Rp .
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 9. 0 0 u
2 OWNER PHONE E ¢' 0.0 0 7
3. IAELC r) e ARRat.ir Qz'3-'it S3 5 3.0 8
ADDRESS ZIP Required Set Backs in Feet
W. 100 3 Y4 ILiL.d2 RD. 619204. North 'South East (West 0 1 -2 4-8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
CO LP,Q. QQ.. A► - 4410-34S 2 6 4 7 9.
4'
ADDRESS (i d ` /, / ZIP� Type Const. Occupancy Sprinklered
/./, C11`� - D�I Dix, & e1 W� 6;400S` ❑Yes ENo ❑ 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 g NEW ❑ ALT. D AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK
D BLD. D PLMB. 124 MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. I°{CA-r 'Pu vw:p 1 m s TN-LA—1 t>14
FEES COLLECTED
VALUATION Source GAS ELECTRIC 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 cal law regulating construction or the
perform. ce of construction. Plumbing
DAT a.v. / • SIGNATURE
ech. q•Oq
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
r�
SEPA
F—
Planning — C_)
w
0_
cn
Fire Marshall Mobile Home
Co. Engineer Other(Specify)
Utilities
TOTAL $4° 00
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist C ^� i THIS BECOMES1A PERMIT.
DATE /P-4/6.° OFFICIAL Y_ C,-/ 47l -2 4 U'�) ),i " lc it Fl ,'
APPROVED ISSOANCE —