1980, 03-21 Permit: 80-2508 Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 3 — I9i C)
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO M\KE 4 COPIES 0 4 * * 9.0 0
ta�
' JOB ADD )i-14
lto 1 , 1,. p LEGAL DESCRIPTION — SEE ATTACHED * 9.0 0 N
LOT BLOCK SUBDIVISION t�J PARCEL NUMBER/S *. 9.0 0 v
2. I,
OWNER • P ONE E * O,0 0 U
n11-3• L I 4-b8(0� cnn �7
3 ADDRESS ZIP Required Set Backs in Feet 2 5 0, !
)ySL' North 'SouthEast (West 0 3—2 1 —8 0
CONTR TOR PHONE Size of Parcel Zone Classification
4. k.
1,/,.....) S4505 g 6,479,
ADD S a O `Ri Type Const. Occupancy Sprinklered
79Qc 7 ❑Yes ❑No ❑ Req'd.
DESIGNERLLLPHONE 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.
TYPENo.Baths No. Floors No. Rooms Rec. Room
❑ NEW 0 ALT. AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. MECH: 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK „/
$ C {1 3 /.`(/� 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 local law re ing construction or the
performance of construction. Plumbing
DATE SIGNATU Mech.
SPECIAL APPROVALS SPEC L ONDITIONS: (11.80
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA O
Planning U
_ w
a
Mobile Home C)
Fire Marshall Z
Co. Engineer Other (Specify)
Utilities
TOTAL $ 1. 00
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ( )-{. THIS BECOMES A PERMIT.
:fig` C.`;'4 i!'. ....i5 ., .y, ., e8y_.., •
YE DATES OFFICIAL { a�--a Cl../Y1.IY i., 1 2 I. 4, n �.' * 2. 11 1
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� :
r.., . APPROVED FOR ISSUANCE _