1981, 02-27 Permit: 81A-1864 Heat Pump PLAN NUMBER . APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 4 I . I l t&4
0/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: CdMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS v_i c, LEGAL DESCRIPTION - SEE ATTACHED 0 4 * * 1 4,0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1400 co
2. * 1 4, 00
OWNER PHONE
3. �- . ' „"- A'\Cy___='\..'\--U.—t_A__.? 92„.(4— 5 4i y I A * 0. C 0 u
ADDRESS ' t� ZIP Actual Set Backs in Feet
1 (-1-7 nC - 3 `I 5 ') '' North 'South East (West 1 8 6 3
CONTRACTOR TONE Size of Parcel Zone Classification
ADDRESS ZIP Type Const. Occupancy SprinkleredL 6 7 9,
,2 c -� ( F. c-,---
1 C' iZ S— I l J Oyes El No 0 Req'd.
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.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ��❑//AD'N. ❑ RPL. ❑ MVE.
7. OF 1:1BLD. I=1PLMB. J MECH. 0 M.H. I=1 POOL 1=1 OTHER
WORK CERTIFICATE Req'd. Rec'd. Not Req'd.
* of EXEMPTION
DESCRIBE WORK n Enum.Dist. Location (Area)
8. c v` `' c� � t�� i� mak, C `� 1 I FEES COLLECTED
VALUATIOr<' SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES �\1t Public 0 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 '1 '4 ; - S i SIGNATURE OF APPLICANT p't�----k.--t. — Mech. 1
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA ate.
Planning
O
U
Fire Marshall Mobile Home W
Co. Engineer Other(Specify)
Utilities TOTAL $ C, C_i
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BE�QMES A PERMIT.
gTe - ian PERMIT IS NONTRANSFERABLE 0'2 N 21 ;—`81 18 6.4 z *1400a �: -
m� t PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE.ISSUED PERMIT NO. TOTAL